Individual provider Active NPI

Marcie Oser Wertlieb, MD

  • Ophthalmology Physician
  • Laurel, MD
National Provider Identifier
1396745840
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D00062700 Issued in MD
Practice address
14201 Laurel Park Dr
Suite 208
Laurel, MD 20707-5203
Phone
(301) 498-6616
Fax
(301) 498-8030
NPI assigned
Jul 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D00062700 MD Primary

Addresses

Primary practice location

14201 Laurel Park Dr
Suite 208
Laurel, MD 20707-5203

Mailing address

14201 Laurel Park Dr
Suite 208
Laurel, MD 20707-5203
Phone (301) 498-6616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090624000475 DC Practitioner - Ophthalmology 0749226694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Maryland School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronald S. Oser, MD, PAGroup PAC ID 9931163730, 2 clinicians

Practice addresses (Care Compare)

14201 Laurel Park Dr
Suite 208
Laurel, MD 20707-5203
Phone (301) 498-6616

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D00062700MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald S Oser MD PA Ophthalmology CurrentSince Apr 17, 2009 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

14201 Laurel Park Dr
Ste 208
Laurel, MD 20707
Phone (301) 497-1656

3450 Laurel Fort Meade Rd
Ste 200
Laurel, MD 20724
Phone (301) 498-6616

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1396745840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 LAUREL PARK DR",
            "address_2": "SUITE 208",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075203",
            "telephone_number": "301-498-6616",
            "fax_number": "301-498-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 LAUREL PARK DR",
            "address_2": "SUITE 208",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075203",
            "telephone_number": "301-498-6616",
            "fax_number": "301-498-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTLIEB",
        "first_name": "MARCIE",
        "middle_name": "OSER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D00062700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.