| Dr Andra Dawn Distefano, MD | |
|
22 S Greene St, Suite S11c07, Baltimore, MD 21201-1544 | |
| (410) 328-9909 | |
| Not Available |
| Full Name | Dr Andra Dawn Distefano |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 20 Years |
| Location | 22 S Greene St, Baltimore, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144421975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | A103969 (California) | Secondary |
| 207L00000X | Anesthesiology | D0070662 (Maryland) | Primary |
| 207R00000X | Internal Medicine | MT188256 (Pennsylvania) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | 3779495858 | 1921 |
| Entity Name | University of Maryland Anesthesiology Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720024235 PECOS PAC ID: 8022905306 Enrollment ID: O20040302000341 |
| Entity Name | Kaiser Foundation Health Plan of the Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558 |
| Entity Name | Kaiser Foundation Health Plan of the Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1942546486 PECOS PAC ID: 3779495858 Enrollment ID: O20141111002041 |
| Entity Name | Kaiser Foundation Health Plan of the Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1457023616 PECOS PAC ID: 3779495858 Enrollment ID: O20220105001262 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andra Dawn Distefano, MD 1202 Southview Rd, Baltimore, MD 21218-1400 Ph: Not Available | Dr Andra Dawn Distefano, MD 22 S Greene St, Suite S11c07, Baltimore, MD 21201-1544 Ph: (410) 328-9909 |
Kathryn Rosenblatt, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1800 Orleans St, Baltimore, MD 21287 Phone: 410-955-7461 Fax: 410-614-7903 |
Dr. Tiffani Danielle Pittman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5601 Loch Raven Blvd, Baltimore, MD 21239 Phone: 443-444-4863 Fax: 443-444-4997 |
Elizabeth Minh-ann Pham, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 804-898-0825 |
Mark Dean Waguespack, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9000 Franklin Square Dr, Baltimore, MD 21237 Phone: 443-777-7179 Fax: 443-777-8242 |
Bruce Robert Gibson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4940 Eastern Ave, Baltimore, MD 21224 Phone: 410-550-0100 |
Lynette Mark, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-6353 |
Charles Lin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 900 Canton Ave, Baltimore, MD 21229 Phone: 410-368-3045 Fax: 410-951-4009 |