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NPI Code Detail

MEDICARE: FIVE STAR PHYSICIAN SERVICES, LLC

MEDICARE: FIVE STAR PHYSICIAN SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2208100000XPhysical Medicine & Rehabilitation Physician
3208200000XPlastic Surgery Physician
4207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083654479
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIVE STAR PHYSICIAN SERVICES, LLC
Provider Business Mailing Address
First Line : P.O. BOX 2613
Second Line :
City : SALISBURY
State : MD
Zip : 21802-2613
Country : US
Telephone Number : 443-548-5700
Fax Number : 443-548-5705
Provider Business Practice Location Address
First Line : 785 ELKRIDGE LANDING RD STE 300
Second Line :
City : LINTHICUM HEIGHTS
State : MD
Zip : 21090-2958
Country : US
Telephone Number : 443-548-5700
Fax Number : 443-548-5705
Authorized Official
Title or Position : OPERATIONS MANAGER
Name : MS. RACHEL SETTING
Credential :
Telephone Number : 410-279-0317
Provider Enumeration Date : 06/07/2006
Last Update Date : 07/03/2024

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Directions to “FIVE STAR PHYSICIAN SERVICES, LLC ” Practice Location

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