| Jenelle Tittelfitz, PA-C | |
|
4451 Parliament Pl Ste G, Lanham, MD 20706-1873 | |
| (301) 459-9113 | |
| Not Available |
| Full Name | Jenelle Tittelfitz |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 4451 Parliament Pl Ste G, Lanham, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679943724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C0005962 (Maryland) | Primary |
| Entity Name | Poudre Valley Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenelle Tittelfitz, PA-C 7611 Reserve Cir, Apt 004, Windsor Mill, MD 21244-1646 Ph: (541) 337-0142 | Jenelle Tittelfitz, PA-C 4451 Parliament Pl Ste G, Lanham, MD 20706-1873 Ph: (301) 459-9113 |
Bethlehem Sisay, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8118 Good Luck Rd, Lanham, MD 20706 Phone: 301-552-8013 |
Angela De Bone, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8116 Good Luck Rd, Suite 010, Lanham, MD 20706 Phone: 240-965-4413 Fax: 240-542-2997 |
Deja Rochelle Obiora, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5515 Lanteen St, Lanham, MD 20706 Phone: 301-575-4117 |
Abraham Gebremichael, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9801 Greenbelt Rd Ste 101, Lanham, MD 20706 Phone: 443-777-7000 |
Miss Zuriashwork T Damtew, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8118 Good Luck Rd, Doctors Community Medical Group Llc, Lanham, MD 20706 Phone: 301-552-8031 |
April Ann Burke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8118 Good Luck Rd, Lanham, MD 20706 Phone: 301-552-5500 |
Melissa Brooke Hastings, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 8118 Good Luck Rd, Lanham, MD 20706 Phone: 240-686-2300 |