Jeanne Kathleen Sparks, PA-C is a medicare enrolled "Dermatology" physician in Sparks, Maryland. She went to Philadelphia College Of Osteopathic Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Advanced Dermatology Of Maryland Pc and her current practice location is
10 Fila Way, Suite 205, Sparks, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 472-1006.
Jeanne Kathleen Sparks is licensed to practice in Maryland (license number C0004611) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932486644.
Physician's Profile
| Full Name | Jeanne Kathleen Sparks |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 13 Years |
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| Location | 10 Fila Way, Sparks, Maryland |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jeanne Kathleen Sparks attended and graduated from Philadelphia College Of Osteopathic Medicine in 2011
NPI Data:
- NPI Number: 1932486644
- Provider Enumeration Date: 11/08/2011
- Last Update Date: 04/07/2014
Medicare PECOS Information:
- PECOS PAC ID: 2567638844
- Enrollment ID: I20120109000565
Medical Identifiers
Medical identifiers for Jeanne Kathleen Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932486644 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | C0004611 (Maryland) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Advanced Dermatology Of Maryland Pc | 9931489804 | 37 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeanne Kathleen Sparks is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jeanne Kathleen Sparks, PA-C
10 Fila Way,
Sparks, MD 21152-9452
Ph: (410) 472-1006 | Jeanne Kathleen Sparks, PA-C
10 Fila Way, Suite 205,
Sparks, MD 21152-9452
Ph: (410) 472-1006 |
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