| Brian Park, | |
|
20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 | |
| (240) 686-2300 | |
| Not Available |
| Full Name | Brian Park |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 20010 Century Blvd, Germantown, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669929972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C06204 (Maryland) | Primary |
| Entity Name | Emergency Medicine Associates P.A., P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20070919000389 |
| Entity Name | Whc Physician Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700154226 PECOS PAC ID: 6103093513 Enrollment ID: O20120125000252 |
| 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: O20130117000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Park, 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 Ph: Not Available | Brian Park, 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 Ph: (240) 686-2300 |
Jason Charles Stanford, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19466 Caravan Dr, Germantown, MD 20874 Phone: 214-227-2457 Fax: 214-764-0880 |
Ms. Marnie Bernard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19777 Frederick Rd, Germantown, MD 20876 Phone: 888-808-6483 |
Nicole Ann Young, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19801 Observation Dr, Germantown, MD 20876 Phone: 301-557-6000 |
Megan Elizabeth Walling, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19777 Frederick Rd, Germantown, MD 20876 Phone: 888-808-6483 |
Sarah Nell Shomper, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 20010 Century Blvd Ste 200, Germantown, MD 20874 Phone: 240-686-2300 |
Anusha Jailwala, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 Phone: 301-339-8027 |
Faith Kim, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12800 Middlebrook Rd Ste 400, Germantown, MD 20874 Phone: 240-478-1077 |