| Cherish Star Hannah, PA-C | |
|
5755 Cedar Ln, Columbia, MD 21044-2912 | |
| (410) 740-7544 | |
| Not Available |
| Full Name | Cherish Star Hannah |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 5755 Cedar Ln, Columbia, 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 |
|---|---|---|---|
| 1336809649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363AM0700X | Physician Assistant - Medical | C0008303 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifebridge Community Gastroenterology Llc | 7618108119 | 54 |
| Entity Name | Lifebridge Community Gastroenterology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033558416 PECOS PAC ID: 7618108119 Enrollment ID: O20140326001773 |
| Mailing Address | Practice Location Address |
|---|---|
| Cherish Star Hannah, PA-C 6201 Greenleigh Ave, Baltimore, MD 21220-2004 Ph: (410) 933-6423 | Cherish Star Hannah, PA-C 5755 Cedar Ln, Columbia, MD 21044-2912 Ph: (410) 740-7544 |
Justin Richard Waite, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5900 Cedar Ln, Columbia, MD 21044 Phone: 443-718-4067 |
Mrs. Toni Marie Keller, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-720-8000 Fax: 410-740-7511 |
Smital Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr Ste 130, Columbia, MD 21044 Phone: 410-772-7000 |
Melissa Tsang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9520 Berger Rd Ste 203, Columbia, MD 21046 Phone: 410-823-6408 |
Bradley Klement, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr, Columbia, MD 21044 Phone: 410-955-5000 |
Zayda Villatoro, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7226 Lee Deforest Dr Ste 206, Columbia, MD 21046 Phone: 410-656-2646 |
Mr. Dipal Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-740-7890 |