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Edward Matthew Schaeffer

Urology

Allopathic & Osteopathic Physicians

600 N Wolfe St, Marburg 145, Baltimore, MD 21287-0005

PECOS Enrollment

This provider is enrolled in PECOS as EDWARD SCHAEFFER.

Based on the most recent information from CMS, provider Edward Matthew Schaeffer is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1821134883
Provider Type
Individual
Full Name
Schaeffer, Edward Matthew
Title
Dr.
Credential
M.D., PHD

Gender
Male
Sole Proprietor
No
Enumeration Date
1/29/2007
Last Updated
2/18/2013

Contact Information

Practice Location

600 N Wolfe St, Marburg 145, Baltimore, MD 21287-0005

(410) 955-4494

(410) 955-0833

Mailing Location

PO Box 64255, Baltimore, MD 21264-4255

(410) 955-6707

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208800000X Primary	Description Urology Allopathic & Osteopathic Physicians	License D65623 Maryland
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 014336700	Description Medicaid	Issuer Unlisted Maryland

Edward Matthew Schaeffer

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

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License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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