MEDICARE: WAY STATION INC

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	261QM1300X	Multi-Specialty Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	K011WA	OTHER	MD	MDBCBS GROUP NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	T806	OTHER	MD	BLUE CHOICE GROUP NUMBER

General Provider Information

NPI Number	:	1104914464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAY STATION INC

Provider Business Mailing Address
First Line	:	PO BOX 791888
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21279-1888
Country	:	US
Telephone Number	:	301-662-0099
Fax Number	:	443-659-2429

Provider Business Practice Location Address
First Line	:	9030 STATE ROUTE 108 STE A
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-1990
Country	:	US
Telephone Number	:	410-740-1901
Fax Number	:	410-740-8932

Authorized Official
Title or Position	:	DIRECTOR, REVENUE CYCLE
Name	:	SUE KESSLER
Credential	:
Telephone Number	:	410-382-8111

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	02/20/2026

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Directions to “WAY STATION INC ” Practice Location

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