| Aden Farouk, | |
|
11868 College Backbone Rd, Princess Anne, MD 21853 | |
| (410) 651-7747 | |
| Not Available |
| Full Name | Aden Farouk |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 11868 College Backbone Rd, Princess Anne, 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 |
|---|---|---|---|
| 1154042737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Care Center Llc | 3274801139 | 286 |
| Entity Name | Privia Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
| Entity Name | Privia Care Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164874426 PECOS PAC ID: 3274801139 Enrollment ID: O20170616001775 |
| Mailing Address | Practice Location Address |
|---|---|
| Aden Farouk, 11868 College Backbone Rd, Princess Anne, MD 21853 Ph: Not Available | Aden Farouk, 11868 College Backbone Rd, Princess Anne, MD 21853 Ph: (410) 651-7747 |
Maya Armstrong, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11868 Academic Oval Ste 2034, Princess Anne, MD 21853 Phone: 410-621-3032 |
Janell Good, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11868 College Backbone Rd, Princess Anne, Princess Anne, MD 21853 Phone: 410-651-2200 |
Shekina Rousseau, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11868 Academic Oval, Princess Anne, MD 21853 Phone: 410-621-3032 |
Mr. David Christopher Ford, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 12302 Somerset Ave Ste Ab, Princess Anne, MD 21853 Phone: 410-651-0300 Fax: 410-651-0303 |
Magda Angelica Miguel, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11868 Academic Oval, Princess Anne, MD 21853 Phone: 410-651-6410 |
Phoebe Iloanya, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11868 College Backbone Rd, Princess Anne, MD 21853 Phone: 410-651-2200 |
Mrs. Nicole M Boudreaux, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12302 Somerset Ave Ste Ab, Princess Anne, MD 21853 Phone: 410-651-0300 |