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Clyde W Pray

Anesthesiology

Allopathic & Osteopathic Physicians

1901 Research Blvd, 350, Rockville, MD 20850-3164

PECOS Enrollment

This provider is enrolled in PECOS as CLYDE PRAY.

Based on the most recent information from CMS, provider Clyde W Pray 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 yesterday at 1:10 PM.

Profile Details

Provider ID
1053367151
Provider Type
Individual
Full Name
Pray, Clyde W
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/26/2006
Last Updated
3/22/2010

Contact Information

Practice Location

1901 Research Blvd, 350, Rockville, MD 20850-3164

(301) 838-9606

(301) 838-9029

Mailing Location

13517 Hunting Hill Way, North Potomac, MD 20878-4835

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License D38116 Maryland

Provider Identifiers

ID	Description	Issuer
ID 530561600	Description Medicaid	Issuer Unlisted Maryland
ID 601285800	Description Other	Issuer FECA

Clyde W Pray

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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Elite Md Llc

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Valedon, Arnaldo

Rangappa, Jai Kumar

Potomac Anesthesia Consultants Llc

Maryland Anesthesia Partners Llc