Michaela Katherine Kordell, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Frederick, Maryland. Her current practice location is
2100 Old Farm Dr Ste C, Frederick, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 662-9105.
Michaela Katherine Kordell is licensed to practice in Maryland (license number C07208) 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 1932695764.
Physician's Profile
| Full Name | Michaela Katherine Kordell |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 2100 Old Farm Dr Ste C, Frederick, 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: 1932695764
- Provider Enumeration Date: 07/04/2018
- Last Update Date: 06/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 9739431016
- Enrollment ID: I20191015002872
Medical Identifiers
Medical identifiers for Michaela Katherine Kordell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1932695764 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 7130 (Arizona) | Secondary |
| 363AM0700X | Physician Assistant - Medical | MA063837 (Pennsylvania) | Secondary |
| 363AM0700X | Physician Assistant - Medical | C07208 (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. Michaela Katherine Kordell 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 |
Michaela Katherine Kordell, PA-C 6729 Kernel Ct, Frederick, MD 21703-1817 Ph: (443) 758-6146 | Michaela Katherine Kordell, PA-C 2100 Old Farm Dr Ste C, Frederick, MD 21702-5402 Ph: (301) 662-9105 |
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