| Alexandre Andre Debetencourt, PA-C | |
|
1000 Bestgate Rd Ste 400, Annapolis, MD 21401-3371 | |
| (410) 266-2720 | |
| (410) 224-0209 |
| Full Name | Alexandre Andre Debetencourt |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 1000 Bestgate Rd Ste 400, Annapolis, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720553159 | NPI | - | NPPES |
| 140207200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | C06988 (Maryland) | Secondary |
| 363A00000X | Physician Assistant | C06988 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Greater Baltimore Medical Center | Baltimore, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agape Physical Therapy And Sports Rehabilitation Lp | 3870741390 | 684 |
| Greater Baltimore Medical Center | 1759276975 | 350 |
| Entity Name | Greater Baltimore Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891855763 PECOS PAC ID: 1759276975 Enrollment ID: O20040217000852 |
| Entity Name | Medstar Medical Group II LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandre Andre Debetencourt, PA-C 1000 Bestgate Rd Ste 400, Annapolis, MD 21401-3371 Ph: (410) 266-2720 | Alexandre Andre Debetencourt, PA-C 1000 Bestgate Rd Ste 400, Annapolis, MD 21401-3371 Ph: (410) 266-2720 |
Albert E. Coombs, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 250 Wood Rd, Annapolis, MD 21402 Phone: 410-293-4378 |
Clifford Amos, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Harry S Truman Pkwy, Annapolis, MD 21401 Phone: 410-897-0272 Fax: 410-897-1968 |
Teresa Lee Gore, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2114 Generals Hwy, Annapolis, MD 21401 Phone: 410-721-0311 |
Jill Monroe Schumacher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2000 Medical Parkway, Ste 101, Annapolis, MD 21401 Phone: 410-295-8900 Fax: 410-280-4701 |
Marshae Cappaninee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1750 Forest Dr, Annapolis, MD 21401 Phone: 301-535-8913 |
Mrs. Julie A Viera, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2000 Medical Pkwy, Suite 304, Annapolis, MD 21401 Phone: 410-573-9530 Fax: 410-573-9569 |
Mr. Jacob Manuel Aja, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2000 Medical Pkwy, Suite 101, Annapolis, MD 21401 Phone: 410-295-8900 Fax: 410-280-4701 |