| Dr Shana Jeanelle Gage, MD | |
| 1221 Mercantile Ln, Largo, MD 20774-5374 | |
| (301) 386-6800 | |
| Not Available | 
| Full Name | Dr Shana Jeanelle Gage | 
|---|---|
| Gender | Female | 
| Speciality | Psychiatry & Neurology - Psychiatry | 
| Location | 1221 Mercantile Ln, Largo, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1154589745 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D0069501 (Maryland) | Primary | 
| Entity Name | Mindful Healing Works Wellness Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1962040626 PECOS PAC ID: 3375904451 Enrollment ID: O20230806000023 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Shana Jeanelle Gage, MD 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, MD 20852-4908 Ph: (301) 816-2424 | Dr Shana Jeanelle Gage, MD 1221 Mercantile Ln, Largo, MD 20774-5374 Ph: (301) 386-6800 | 
| Dr. Earl John D Mauricio, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Largo, MD 20774 Phone: 301-386-6800 Fax: 301-386-6801 | |
| Dr. Ejaz Anwar Shamim, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Largo, MD 20774 Phone: 301-386-6850 Fax: 301-386-6851 | |
| Dr. Teddy Gould Goetz, MD, MS Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Ln Fl 4, Largo, MD 20774 Phone: 301-618-5500 | |
| Dr. Melvin Woodao Kong, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Largo, MD 20774 Phone: 301-386-6850 | |
| Dr. Ashlee Malaina Roberson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1221 Mercantile Ln, Largo, MD 20774 Phone: 301-618-5600 |