Deon Edgerson-George
Individual provider Active NPI Internal Medicine Physician · Chester, MD
NPI 1508033929 · NPPES record last updated Nov 29, 2013
Key facts
- NPI
- 1508033929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- D74685 (MD)
- Practice address
- 1630 Main St
Suite 209
Chester, MD 21619-2791 - Phone
- (410) 643-4524
- Fax
- (410) 643-4523
- NPI assigned
- May 14, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Louisiana State University School of Medicine in Shreveport, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Luminis Health Medical Group, LLC
Practice addresses (Care Compare)
1630 Main St
Chester, MD 21619-2791
Phone (410) 643-4524
Hospital & facility affiliations
- Adoration Home Health
- Vna of Maryland- Chestertown
- Homecall
- Luminis Health Anne Arundel Medical Center, Inc
- University of MD Shore Medical Ctr at Chestertown
- University of MD Shore Medical Center at Easton
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120823000502 | MD | Practitioner - Internal Medicine |
5294981288 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D74685 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Internal Medicine | Current |
Accepting new patients |
| Luminis Health Medical Group, LLC | Internal Medicine | Current |
Accepting new patients |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Parish Hospital Service District for the Parish of Orleans Dist a | Past | Accepting new patients |
Locations
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300
1630 Main St
Ste 209
Chester, MD 21619
Phone (410) 643-4524
1630 Main St
Ste 204
Chester, MD 21619
Phone (410) 224-4887
Interoperability endpoints
- dedgersongeorge25084@direct.aahs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D74685 | MD | Yes |
Addresses
Primary practice location
1630 Main St
Suite 209
Chester, MD 21619-2791
Mailing address
PO Box 12622
Belfast, ME 04915-4017
Phone (443) 481-6576
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8573562 | Other | MD | AETNA PPO |
| 3156028 | Other | MD | CIGNA |
| 9144899 | Other | MD | AETNA HMO |
| AB11-0002 | Other | MD | CAREFIRST |
| 056993300 | Medicaid | MD |
Other providers in Chester, MD
- Cronin Dermatology & Skin Cancer Center of Kent Island, LLC
- Leah Dedrick
- Dr T Correia LLC
- Eastern Shore Family Foot Care, LLC
- Easton Snoring and Sleep Apnea Center LLC
- F.W.B. Dental LLC
- Fitness Forum of Maryland, LLC
- Joyce Flynt
- Eric Mitchell Fooksman
- Erin Elizabeth Golueke
All providers in Chester, MD · Internal Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.