| Elizabeth Moccia, | |
| 9015 Woodyard Rd Ste 111, Clinton, MD 20735-4226 | |
| (301) 599-0900 | |
| (301) 599-7828 | 
| Full Name | Elizabeth Moccia | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 9015 Woodyard Rd Ste 111, Clinton, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1992264147 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | MD210002154 (District Of Columbia) | Primary | 
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary | 
| Entity Name | Childrens Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1912939703 PECOS PAC ID: 0244143170 Enrollment ID: O20031107000130 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Elizabeth Moccia, Po Box 744787, Atlanta, GA 30374-4787 Ph: (202) 476-5000 | Elizabeth Moccia, 9015 Woodyard Rd Ste 111, Clinton, MD 20735-4226 Ph: (301) 599-0900 | 
| Maria Milan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9015 Woodyard Rd Ste 111, Clinton, MD 20735 Phone: 301-599-0900 | |
| Dr. Josephine Vergara, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 301-870-7001 Fax: 301-870-6697 | |
| Renu Chandra, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9131 Piscataway Rd, #710, Clinton, MD 20735 Phone: 301-868-8654 Fax: 301-856-7298 | |
| Patrick Jean-philippe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7501 Surratts Rd, Clinton, MD 20735 Phone: 301-877-4288 Fax: 301-877-2695 | |
| Dr. Vigila Constance Harris, MD FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9135 Piscataway Rd, Suite 200, Clinton, MD 20735 Phone: 301-856-2210 Fax: 301-856-2212 | |
| Dr. Kermit O Simrel Jr.,  Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9015 Woodyard Rd, Suite 111, Clinton, MD 20735 Phone: 301-599-0900 Fax: 301-599-7828 | |
| Dr. Shawnese Gilpin Clark, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 240-506-8967 |