| Nicole Alyssa Deshaies, MD | |
|
7211 Bank Ct, Frederick, MD 21703-8483 | |
| (240) 215-6310 | |
| (240) 566-7754 |
| Full Name | Nicole Alyssa Deshaies |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 7211 Bank Ct, Frederick, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457813495 | NPI | - | NPPES |
| 16129183 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD484637 (Pennsylvania) | Secondary |
| 208600000X | Surgery | D0103565 (Maryland) | Primary |
| Entity Name | Allegheny Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Alyssa Deshaies, MD 1 Frederick Health Way, Frederick, MD 21701-9435 Ph: (240) 215-6310 | Nicole Alyssa Deshaies, MD 7211 Bank Ct, Frederick, MD 21703-8483 Ph: (240) 215-6310 |
Jesus Esquivel, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7211 Bank Ct Ste 200, Frederick, MD 21703 Phone: 240-575-2526 Fax: 240-439-8910 | |
Dr. Max Eugene Wingerd, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 74 Thomas Johnson Dr, Frederick, MD 21702 Phone: 301-694-3200 Fax: 301-662-5288 | |
Dennis S Wang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 501 W 7th St, Frederick, MD 21701 Phone: 240-575-2526 | |
Dr. Shyam Sundar Jayaraman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 194 Thomas Johnson Dr Ste C, Frederick, MD 21702 Phone: 240-575-2526 | |
Scott E Andochick, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 81 Thomas Johnson Ct, Ste A, Frederick, MD 21702 Phone: 301-620-4200 Fax: 301-620-0879 | |
Dr. Narayan Deshmukh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 W 7th St, Frederick, MD 21701 Phone: 240-566-3840 | |
Derek Michael Deshaies, MD Surgery Medicare: Medicare Enrolled Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 402-156-3102 Fax: 240-566-7754 |