| Ellie Elizabeth Lavery, | |
|
10015 Gable Manor Ct, Potomac, MD 20854-5000 | |
| (240) 994-9853 | |
| Not Available |
| Full Name | Ellie Elizabeth Lavery |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 10015 Gable Manor Ct, Potomac, 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 |
|---|---|---|---|
| 1396618674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Md Medical Center Midtown Campus | Baltimore, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Maryland Physicians Pa | 2769394808 | 395 |
| Entity Name | University of Maryland Physicians PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689623175 PECOS PAC ID: 2769394808 Enrollment ID: O20031105000792 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Elizabeth Lavery, 10015 Gable Manor Ct, Potomac, MD 20854-5000 Ph: Not Available | Ellie Elizabeth Lavery, 10015 Gable Manor Ct, Potomac, MD 20854-5000 Ph: (240) 994-9853 |
Ms. Christina Lee Bulley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7811 Montrose Rd Ste 340, Potomac, MD 20854 Phone: 301-588-7888 Fax: 301-588-3419 |
Mrs. Mohebat Dahydarbandi, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8048 Tuckerman Ln, Potomac, MD 20854 Phone: 301-437-6044 |
Jodie A Stone, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7811 Montrose Rd Ste 220, Potomac, MD 20854 Phone: 301-588-7888 Fax: 301-587-5002 |