Teresa Anne Hanyok (NPI# 1821099730, PAC ID# 0345426177) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1821099730 |
PAC ID by PECOS | 0345426177 |
Professional Enrollment ID | I20110512000370 |
Full Name | Teresa Anne Hanyok |
Organization Legal Name | MANCHESTER FAMILY MEDICINE, LLC |
Address |
2973 Manchester Rd Manchester MD 21102-1802 |
Phone Number | 4103744747 |
Gender | F |
Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
Graduation Year | 1993 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 1557389277 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
210033 | CARROLL HOSPITAL CENTER |
Address | Phone | Organization |
---|---|---|
2973 Manchester Rd, Manchester, MD 21102-1802 | 4103744747 | MANCHESTER FAMILY MEDICINE, LLC |
Organization Legal Name | MANCHESTER FAMILY MEDICINE, LLC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Herbert Paul Henderson Jr. | Family Medicine | Manchester Family Medicine, LLC | 2973 Manchester Rd, Manchester, MD 21102-1802 |
Joan M Lusby | Physician Assistant | Manchester Family Medicine, LLC | 2973 Manchester Rd, Manchester, MD 21102-1802 |
Kimberly L Davis | Nurse Practitioner | Manchester Family Medicine, LLC | 2973 Manchester Rd, Manchester, MD 21102-1802 |
Street Address |
2973 MANCHESTER RD |
City | MANCHESTER |
State | MD |
Zip | 21102-1802 |
Name | Specialty | Organization | Address |
---|---|---|---|
Herbert Paul Henderson Jr. | Family Medicine | Manchester Family Medicine, LLC | 2973 Manchester Rd, Manchester, MD 21102-1802 |
Joan M Lusby | Physician Assistant | Manchester Family Medicine, LLC | 2973 Manchester Rd, Manchester, MD 21102-1802 |
Kimberly L Davis | Nurse Practitioner | Manchester Family Medicine, LLC | 2973 Manchester Rd, Manchester, MD 21102-1802 |
Name | Specialty | Organization | Address |
---|---|---|---|
William Keys | Neurology | 2975 Manchester Rd, A, Manchester, MD 21102-1802 | |
Dixie Lee Colgan | Nurse Practitioner | 3000 Manchester Rd, Suite 5, Manchester, MD 21102-1850 | |
Victor Aybar | Podiatry | 2963 Manchester Rd, Suite D, Manchester, MD 21102-1853 | |
Eliahu Bruck | Optometry | Drs. Blum and Bruck, O.d. P.a. | 2963 Manchester Rd, Suite B, Manchester, MD 21102-1853 |
City | MANCHESTER |
Zip Code | 21102 |
Specialty | FAMILY MEDICINE |
City + Specialty | MANCHESTER + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.