| Dr Shirley Anne Vanmilder, MD | |
|
1221 Mercantile Lane, Largo, MD 20774 | |
| (301) 618-5679 | |
| (301) 618-5673 |
| Full Name | Dr Shirley Anne Vanmilder |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 1221 Mercantile Lane, 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 |
|---|---|---|---|
| 1144360587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | D64875 (Maryland) | Primary |
| 207V00000X | Obstetrics & Gynecology | MD036422 (District Of Columbia) | Secondary |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1578638425 PECOS PAC ID: 3779495858 Enrollment ID: O20040805001280 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1366781700 PECOS PAC ID: 3779495858 Enrollment ID: O20130507000207 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1497023188 PECOS PAC ID: 3779495858 Enrollment ID: O20131029000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shirley Anne Vanmilder, MD 2101 East Jefferson Street, Kaiser Permanente, Ppqa, 6 West,, Rockville, MD 20852 Ph: (301) 816-6660 | Dr Shirley Anne Vanmilder, MD 1221 Mercantile Lane, Largo, MD 20774 Ph: (301) 618-5679 |
Dr. Virgil Lee Graham, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Ln, Dept Of Obgyn, Largo, MD 20774 Phone: 301-618-5578 Fax: 301-618-5673 | |
Sasha Ray, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 901 Harry S Truman Dr N, Largo, MD 20774 Phone: 240-677-1000 | |
Kieu Lashanya Smith, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Largo, MD 20774 Phone: 301-618-5500 | |
Dr. Vera I Ibe, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774 Phone: 301-618-5500 Fax: 301-618-5673 | |
Dr. Teresita J Ferrer Estoye, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Lane, Largo, MD 20774 Phone: 301-618-5578 Fax: 301-618-5673 | |
Dr. Kimberly Shawn Moss, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774 Phone: 301-618-5500 |