| Shana Kristina Peak Durant, MD | |
|
1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | |
| (301) 618-5500 | |
| Not Available |
| Full Name | Shana Kristina Peak Durant |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 1221 Mercantile Ln, Upper Marlboro, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689936239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD043222 (District Of Columbia) | Secondary |
| 207P00000X | Emergency Medicine | D80253 (Maryland) | Primary |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073914396 PECOS PAC ID: 6608056171 Enrollment ID: O20141202001514 |
| Mailing Address | Practice Location Address |
|---|---|
| Shana Kristina Peak Durant, MD 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 Ph: () - | Shana Kristina Peak Durant, MD 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 Ph: (301) 618-5500 |
Brunilda Munir Late, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13400 Edgemeade Rd, Upper Marlboro, MD 20772 Phone: 301-358-0192 | |
Craig Wilder, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2510 Moores Plains Blvd, Upper Marlboro, MD 20774 Phone: 202-865-1121 Fax: 202-865-4492 | |
Karen Tonya Mason, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Upper Marlboro, MD 20774 Phone: 301-938-3541 | |
Bridget M. Ivery, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Ln, Upper Marlboro, MD 20774 Phone: 301-386-6600 | |
Michelle A. Mead, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Emergency Department, Upper Marlboro, MD 20774 Phone: 301-816-2424 | |
Dr. Melat Lemma, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Upper Marlboro, MD 20774 Phone: 301-848-7821 |