| Laura Eastburn Keck Gifford, MD | |
|
1221 Mercantile Ln, Largo, MD 20774 | |
| (800) 777-7904 | |
| Not Available |
| Full Name | Laura Eastburn Keck Gifford |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 16 Years |
| Location | 1221 Mercantile Ln, Largo, 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 |
|---|---|---|---|
| 1508184557 | NPI | - | NPPES |
| 014109700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | ME121790 (Florida) | Secondary |
| 207R00000X | Internal Medicine | 151494 (Oregon) | Secondary |
| 207N00000X | Dermatology | 0101261499 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | 3779495858 | 1793 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Eastburn Keck Gifford, MD 1221 Mercantile Ln, Largo, MD 20774-5374 Ph: () - | Laura Eastburn Keck Gifford, MD 1221 Mercantile Ln, Largo, MD 20774 Ph: (800) 777-7904 |
Sharleen St.surin-lord, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1400 Mercantile Ln, Suite 110, Largo, MD 20774 Phone: 301-773-7546 | |
Dr. Barbara Christine Williamson, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1400 Mercantile Ln, Ste#110, Largo, MD 20774 Phone: 301-772-9775 Fax: 301-772-8395 | |
Dr. Ahmad Reza Hossani-madani, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774 Phone: 301-618-5500 |