Greater Maryland Pain Management LLC
A Medicare group practice based in Prince Frederick, MD: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 4486881513), with 19 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4486881513
- Provider type
- DME Supplier - Physician - Anesthesiology, DME Supplier - Physician - Interventional Pain Management, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MD
- Enrollments
- 7
- Group size
- 12 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 16
Enrollment records 7
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20131218000234 | MD | Part B Supplier - Clinic/Group Practice | 1710312723 |
| O20250417000864 | MD | DME Supplier - Physician - Interventional Pain Management | 1205664935 |
| O20260605001482 | MD | DME Supplier - Physician - Interventional Pain Management | 1811784911 |
| O20260423000918 | MD | DME Supplier - Physician - Interventional Pain Management | 1467278598 |
| O20260407003652 | MD | DME Supplier - Physician - Interventional Pain Management | 1346135902 |
| O20230810002153 | MD | DME Supplier - Physician - Anesthesiology | 1770343964 |
| O20230213000201 | MD | DME Supplier - Physician - Anesthesiology | 1710312723 |
NPIs in this group 6
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Greater Maryland Pain Management, LLC
dba Greater Maryland Pain Management
- Pain Medicine (Anesthesiology) Physician
- Elkridge, MD
- NPI 1205664935
-
Greater Maryland Pain Management, LLC
- Pain Medicine (Anesthesiology) Physician
- Annapolis, MD
- NPI 1346135902
-
Greater Maryland Pain Management, LLC
- Pain Medicine (Anesthesiology) Physician
- Catonsville, MD
- NPI 1467278598
-
Greater Maryland Pain Management, LLC
- Pain Medicine (Anesthesiology) Physician
- Odenton, MD
- NPI 1710312723
-
Greater Maryland Pain Management, LLC
- Pain Medicine Physician
- Glen Burnie, MD
- NPI 1770343964
-
Greater Maryland Pain Management, LLC
- Pain Medicine (Anesthesiology) Physician
- Prince Frederick, MD
- NPI 1811784911
Practice locations
- Prince Frederick, MD3
- Odenton, MD2
- Elkridge, MD2
- Glen Burnie, MD2
- Annapolis, MD2
- Catonsville, MD2
- Edgewater, MD1
- Leonardtown, MD1
- Columbia, MD1
Clinicians 19
Clinicians who reassign their Medicare benefits to this group (17) or whom Care Compare lists as members (12).
-
Christel Mercado Bonneville, PA-C
- Physician Assistant
- Baltimore, MD
- NPI 1336698497
-
Avery Victoria Cross, PA
- Physician Assistant
- San Antonio, TX
- NPI 1487389706
-
Johnny Van Dang, DO
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Odenton, MD
- NPI 1215517370
-
Daniel Ezidiegwu Jr.
- Physical Medicine & Rehabilitation Physician
- Odenton, MD
- NPI 1184159444
-
Courtney Green
- Physician Assistant
- Odenton, MD
- NPI 1457993222
-
Jade Alexis Hodge
- Physician Assistant
- Bethesda, MD
- NPI 1316741630
-
Oluwamayowa Ilori, DNP AGPCNP
- Nurse Practitioner
- Glen Burnie, MD
- NPI 1891537064
-
Amanda Mary Jackiewicz, PA-C
- Physician Assistant
- Odenton, MD
- NPI 1730601949
-
Alexis Sherron Lewis, PA-C
- Medical Physician Assistant
- Bethesda, MD
- NPI 1669929030
-
Ligaya Anghela V Narbay
- Physician Assistant
- Odenton, MD
- NPI 1255930103
-
Faderera Oreagba, PA-C
- Physician Assistant
- Seaford, DE
- NPI 1710798459
-
Kennice Elisa Rodney, CRNP
- Nurse Practitioner
- Odenton, MD
- NPI 1932929551
-
Fallon Michelle Rovel-Jones
- Physician Assistant
- Baltimore, MD
- NPI 1073981684
-
Donna Sarara
- Physician Assistant
- Odenton, MD
- NPI 1861170193
-
Jeremy Scranton, PA-C
- Medical Physician Assistant
- Odenton, MD
- NPI 1821760166
-
Brandi Rae Senior, PA-C
- Medical Physician Assistant
- La Plata, MD
- NPI 1346415890
-
Brenda Suhr
- Physician Assistant
- Clifton Springs, NY
- NPI 1922103084
-
Janak A Vidyarthi, M.D.
- Interventional Pain Medicine Physician
- Odenton, MD
- NPI 1619170685
-
Rachel Whitley, AGNP
- Nurse Practitioner
- Abingdon, MD
- NPI 1760091003
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.