Capricorn Health LLC
A Medicare group practice based in Salisbury, MD: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4486064441), with 9 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4486064441
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MD
- Enrollments
- 1
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20201215001757 | MD | Part B Supplier - Clinic/Group Practice | 1760096473 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Capricorn Health LLC
- Addiction Medicine (Family Medicine) Physician
- Elkton, MD
- NPI 1760096473
-
Capricorn Health LLC
- Addiction Medicine (Family Medicine) Physician
- North East, MD
- NPI 1730982125
Practice locations
- North East, MD1
- Chestertown, MD1
- Elkton, MD1
- Essex, MD1
- Salisbury, MD1
Clinicians 9
Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (3).
-
Louis William Arena, PA-C
- Medical Physician Assistant
- Wilmington, DE
- NPI 1386731024
-
Phyllis Barson, M.D.
- Anesthesiology Physician
- Bowie, MD
- NPI 1578676748
-
Brenda Blackiston, NP-C
- Family Nurse Practitioner
- Wilmington, DE
- NPI 1255787511
-
Cheryl Lynne Heck, PA-C
- Physician Assistant
- Elkton, MD
- NPI 1477659837
-
Victor Hillaert, CRNP
- Nurse Practitioner
- Los Angeles, CA
- NPI 1215396395
-
Laura K Lanyon, FNP
- Family Nurse Practitioner
- Cumberland, MD
- NPI 1891377495
-
Joy Ponferrada Magee, FNP- BC
- Family Nurse Practitioner
- Millsboro, DE
- NPI 1316369721
-
Mizhgan Rasoul, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Dover, DE
- NPI 1780472142
-
Vivian Chinyere Umeozulu, M.D.
- Internal Medicine Physician
- Gardena, CA
- NPI 1598964967
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.