MEDICARE: PHYSICIANS TRUST CLAIMS SERVICES

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
1	251X00000X	Supports Brokerage Agency

General Provider Information

NPI Number	:	1093325136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICIANS TRUST CLAIMS SERVICES

Provider Business Mailing Address
First Line	:	15938 ALAMEDA DR
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716-1331
Country	:	US
Telephone Number	:	301-466-8435
Fax Number	:

Provider Business Practice Location Address
First Line	:	15938 ALAMEDA DR
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716-1331
Country	:	US
Telephone Number	:	301-466-8435
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JIMMY L OWENS
Credential	:	CPC
Telephone Number	:	301-466-8435

Provider Enumeration Date	:	08/04/2020
Last Update Date	:	08/04/2020

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Directions to “PHYSICIANS TRUST CLAIMS SERVICES ” Practice Location

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