| Mr Kenneth Andre Desandies, MD | |
|
6192 Oxon Hill Rd, Suite 303, Oxon Hill, MD 20745 | |
| (301) 567-0978 | |
| (301) 567-3155 |
| Full Name | Mr Kenneth Andre Desandies |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 6192 Oxon Hill Rd, Oxon Hill, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417059239 | NPI | - | NPPES |
| 6287930 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | D22793 (Maryland) | Primary |
| 207V00000X | Obstetrics & Gynecology | 029522 (Virginia) | Secondary |
| Entity Name | Accessible Physician Home Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235497892 PECOS PAC ID: 2769639178 Enrollment ID: O20120820000886 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Andre Desandies, MD 6192 Oxon Hill Rd, Suite 303, Oxon Hill, MD 20745 Ph: (301) 567-0978 | Mr Kenneth Andre Desandies, MD 6192 Oxon Hill Rd, Suite 303, Oxon Hill, MD 20745 Ph: (301) 567-0978 |
Joan Redfearn-thompson, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6196 Oxon Hill Rd., Suite 610, Oxon Hill, MD 20745 Phone: 301-839-5804 Fax: 301-839-6882 | |
Dr. Mava Briana Robinson-walton, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 251 National Harbor Blvd Ste 500, Oxon Hill, MD 20745 Phone: 304-686-3404 Fax: 301-686-3407 |