| Tasscia M Williams Souffrant, MD | |
|
61 Thomas Johnson Dr, Frederick, MD 21702-4301 | |
| (301) 663-6171 | |
| (301) 695-4469 |
| Full Name | Tasscia M Williams Souffrant |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 15 Years |
| Location | 61 Thomas Johnson Dr, Frederick, 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 |
|---|---|---|---|
| 1053694539 | NPI | - | NPPES |
| D85692 | Other | MD | STATE LICENSE |
| PENDING | Medicaid | FL | |
| PENDING | Other | FL | MEDICARE HF |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Palm Bay Hospital | Palm bay, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health First Medical Group Llc | 7416100672 | 596 |
| Entity Name | Health First Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
| Mailing Address | Practice Location Address |
|---|---|
| Tasscia M Williams Souffrant, MD 3300 S Fiske Blvd, Rockledge, FL 32955-4306 Ph: (321) 361-5615 | Tasscia M Williams Souffrant, MD 61 Thomas Johnson Dr, Frederick, MD 21702-4301 Ph: (301) 663-6171 |
Gerardo G Araiza, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 61 Thomas Johnson Dr, Frederick, MD 21702 Phone: 301-663-6171 Fax: 301-695-4469 | |
Dr. Richard Gareth Holz, M.D, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 174 Thomas Johnson Dr, Suite 204, Frederick, MD 21702 Phone: 301-662-2300 Fax: 301-662-7364 | |
Analeta Njema Peterson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 61 Thomas Johnson Dr, Frederick, MD 21702 Phone: 301-663-6171 Fax: 301-695-4469 | |
Gerrit Schipper, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 61 Thomas Johnson Dr, Frederick, MD 21702 Phone: 301-663-6171 Fax: 301-695-4469 | |
Dr. Edwin T. Chen, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 97 Thomas Johnson Dr, Suite 101, Frederick, MD 21702 Phone: 301-663-4545 Fax: 301-663-1709 | |
Leonard E Bienkowski, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 61 Thomas Johnson Dr, Frederick, MD 21702 Phone: 301-663-6171 Fax: 301-695-4469 |