| Heather Clark, PA-C | |
|
9815 Main St Ste 208, Damascus, MD 20872 | |
| (301) 253-4004 | |
| (301) 253-3391 |
| Full Name | Heather Clark |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 9815 Main St Ste 208, Damascus, 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 |
|---|---|---|---|
| 1972900520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C0005635 (Maryland) | Primary |
| 207Q00000X | Family Medicine | C0005635 (Maryland) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Home Health Services, Inc. | Silver spring, MD | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Suburban/nrh Medical Rehabilitation Inc | 6507846771 | 885 |
| Entity Name | Mnr Industries, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093130924 PECOS PAC ID: 7416908843 Enrollment ID: O20160119000098 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Clark, PA-C 9815 Main St Ste 208, Damascus, MD 20872-2099 Ph: (301) 253-4004 | Heather Clark, PA-C 9815 Main St Ste 208, Damascus, MD 20872 Ph: (301) 253-4004 |
Patrick H. Whitman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 26215 Ridge Rd, Damascus, MD 20872 Phone: 301-253-1100 Fax: 301-825-5163 |
Mr. Dennis Allen Rochester, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9815 Main St, Suite 208, Damascus, MD 20872 Phone: 301-253-4004 Fax: 301-253-3391 |
Mrs. Lynda Packard, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 26005 Ridge Rd, Suite 200, Damascus, MD 20872 Phone: 301-414-2300 Fax: 301-414-2306 |
Katey Lynn Cressy, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9815 Main Street, Suite 208, Damascus, MD 20872 Phone: 301-253-4004 Fax: 301-253-3391 |