| Nino Dgebuadze, MD, PHD | |
|
17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740 | |
| (301) 797-9240 | |
| (301) 797-4119 |
| Full Name | Nino Dgebuadze |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 39 Years |
| Location | 17 Western Maryland Pkwy, Hagerstown, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679779409 | NPI | - | NPPES |
| 97628601 | Other | MD | BCBS LOCAL CAREFIRST KG85 |
| 333505400 | Medicaid | MD | |
| W2660030 | Other | MD | BCBS REGIONAL W266 |
| P01024230 | Other | MD | RR MEDICARE MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | D0073349 (Maryland) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 2007012244 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Healthcare Shady Grove Medical Center | Rockville, MD | Hospital |
| Suburban Hospital | Bethesda, MD | Hospital |
| Medstar Montgomery Medical Center | Olney, MD | Hospital |
| Holy Cross Hospital | Silver spring, MD | Hospital |
| Holy Cross Germantown Hospital | Germantown, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventist Physician Services Inc | 4284631540 | 136 |
| Entity Name | Inder Chawla |
|---|---|
| Entity Type | Practitioner - Physical Medicine And Rehabilitation |
| Entity Identifiers | NPI Number: 1316989312 PECOS PAC ID: 2567538283 Enrollment ID: I20080904000051 |
| Entity Name | Adventist Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376623207 PECOS PAC ID: 4284631540 Enrollment ID: O20061030000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Nino Dgebuadze, MD, PHD 4444 Forest Park Ave, Campus Box 8518, Saint Louis, MO 63108-8518 Ph: (314) 454-7757 | Nino Dgebuadze, MD, PHD 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740 Ph: (301) 797-9240 |
Dr. Cheryl Lourdes Mejia, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1150 Professional Ct, Suite P, Hagerstown, MD 21740 Phone: 301-665-9696 Fax: 240-420-5715 | |
Thomas M Larkin, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 17 Western Maryland Pkwy, 100, Hagerstown, MD 21740 Phone: 301-797-9240 Fax: 301-797-4234 | |
Ngozi Juliet Efobi, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1150 Professional Ct, Suite B, Hagerstown, MD 21740 Phone: 301-797-4901 Fax: 301-797-4464 | |
Alyssa Faith Eisenhart, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1045 Maryland Ave, Hagerstown, MD 21740 Phone: 301-739-5437 | |
Dr. Christopher David Clark, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 13114 Pennsylvania Ave, Hagerstown, MD 21742 Phone: 301-800-7770 Fax: 301-800-7891 | |
Mark Joseph Yacyk, D.O. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742 Phone: 301-665-4950 Fax: 301-665-4956 | |
Cynthia Brendle, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 Phone: 240-420-4133 |