Mrs Kelsey Brianna Suppa, PA-C in Glen Burnie, MD

Mrs Kelsey Brianna Suppa, PA-C is a medicare enrolled "Physician Assistant" physician in Glen Burnie, Maryland. She graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Privia Care Center Llc and her current practice location is 301 Hospital Dr, Glen Burnie, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 787-4000.

Mrs Kelsey Brianna Suppa is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053700815.

Contact Information

	Mrs Kelsey Brianna Suppa, PA-C
	301 Hospital Dr, Glen Burnie, MD 21061
	(410) 787-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mrs Kelsey Brianna Suppa
Gender	Female
Speciality	Physician Assistant
Experience	11 Years
Location	301 Hospital Dr, Glen Burnie, 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.

Medical Education and Training:

Mrs Kelsey Brianna Suppa graduated from medical school in 2014

NPI Data:

NPI Number: 1053700815
Provider Enumeration Date: 01/16/2015
Last Update Date: 11/06/2023

Medicare PECOS Information:

PECOS PAC ID: 1557674405
Enrollment ID: I20150721001391

Medical Identifiers

Medical identifiers for Mrs Kelsey Brianna Suppa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053700815	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2082S0105X	Plastic Surgery - Surgery Of The Hand	C0005671 (Maryland)	Secondary
363A00000X	Physician Assistant	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Privia Care Center Llc	3274801139	251

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. Mrs Kelsey Brianna Suppa 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
Mrs Kelsey Brianna Suppa, PA-C 1306 Oak Rd, Severna Park, MD 21146-3402 Ph: (410) 491-2212	Mrs Kelsey Brianna Suppa, PA-C 301 Hospital Dr, Glen Burnie, MD 21061 Ph: (410) 787-4000

Mrs Kelsey Brianna Suppa, PA-C - Medicare Physician Assistant in Glen Burnie, MD