Letitia Kathlene Thompson Dzirasa, MD is a medicare enrolled "Pediatrics" physician in Essex, Maryland. Her current practice location is
1245 Eastern Blvd, Essex, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 558-4700.
Letitia Kathlene Thompson Dzirasa is licensed to practice in Maryland (license number 22176) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407051709.
Physician's Profile
| Full Name | Letitia Kathlene Thompson Dzirasa |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 1245 Eastern Blvd, Essex, Maryland |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407051709
- Provider Enumeration Date: 06/18/2007
- Last Update Date: 12/22/2015
Medicare PECOS Information:
- PECOS PAC ID: 5799962171
- Enrollment ID: I20110613000334
Medical Identifiers
Medical identifiers for Letitia Kathlene Thompson Dzirasa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407051709 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 22176 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Letitia Kathlene Thompson Dzirasa is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Letitia Kathlene Thompson Dzirasa, MD 3501 Sinclair Ln, Baltimore, MD 21213-2029 Ph: (410) 732-8800 | Letitia Kathlene Thompson Dzirasa, MD 1245 Eastern Blvd, Essex, MD 21221-3422 Ph: (410) 558-4700 |
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