OrganizationGreenbelt Medical CenterFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address7525 Greenway Center Dr Ste T3, Greenbelt, MD 20770-3527(301) 441-1800PECOS EnrollmentBased on the most recent information from CMS, provider Greenbelt Medical Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1578636858Provider TypeOrganizationFull NameGreenbelt Medical CenterSubpartNoEnumeration Date11/16/2006Last Updated1/16/2008Contact InformationPractice LocationPractice Address7525 Greenway Center Dr Ste T3, Greenbelt, MD 20770-3527Phone(301) 441-1800Fax(301) 474-8979Mailing LocationMailing Address7525 Greenway Center Dr Ste T3, Greenbelt, MD 20770-3527Phone(301) 441-1800Fax(301) 474-8979Authorized OfficialNameFarzin, Bernard Rais (Owner)Phone(301) 441-1800Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseD0055075MarylandProvider IdentifiersIDDescriptionIssuerID5704DescriptionOtherIssuerBLUE CROSS BLUE SHIELDDistrict of ColumbiaIDDG3845DescriptionOtherIssuerRAILROAD/MEDICAREMarylandIDOF31DescriptionOtherIssuerCAREFIRST BCBSMaryland