1602 FORD AVE
CUMBERLAND, MD 21502-4612 US PECOS Enrolled
Thomas A Bostaph
Nurse Practitioner (Adult Health)
- CUMBERLAND, MD
- Phone: (301)-759-4544
- Last Updated 2/19/2016
Overview
Thomas A Bostaph is a Nurse Practitioner (Adult Health) in the CUMBERLAND area and has over 40 years of experience. Thomas A Bostaph primary office location is at 1602 FORD AVE and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1984
Thomas A Bostaph is affiliated with four hospitals in the CUMBERLAND area, including . The NPI number is 1093769127 and the information was updated approximately 8 years ago.
Thomas A Bostaph is affiliated with one medical group in the CUMBERLAND area, MOUNTAIN VIEW PRIMARY CARE INC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| R087737 | MD |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICARE | 754LA787 | - |
| MEDICAID | 342102300 | MD |
| Taxonomy | State | Primary? |
|---|---|---|
| Nurse Practitioner (Adult Health) - Taxonomy Code 363LA2200X | MD | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20121105000313 |
| PECOS Individual PAC ID: | 5092902023 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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