| Jennifer Lyn Birchenough, OTR, PA-C | |
|
6934 Aviation Blvd, Glen Burnie, MD 21061-2593 | |
| (443) 949-0814 | |
| Not Available |
| Full Name | Jennifer Lyn Birchenough |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 6934 Aviation Blvd, Glen Burnie, 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 |
|---|---|---|---|
| 1164622775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C0005190 (Maryland) | Primary |
| 225X00000X | Occupational Therapist | 6350 (Maryland) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Calverthealth Medical Center | Prince frederick, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mdics At Calvert Llc | 6406017425 | 26 |
| Mdics At Anne Arundel Llc | 1456515519 | 32 |
| Entity Name | Atlantic Physician Services of Maryland, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174632376 PECOS PAC ID: 5193619765 Enrollment ID: O20040212000917 |
| Entity Name | Mdics at Calvert LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033404207 PECOS PAC ID: 6406017425 Enrollment ID: O20120418000151 |
| Entity Name | Mdics at Anne Arundel LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427343664 PECOS PAC ID: 1456515519 Enrollment ID: O20120621000282 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lyn Birchenough, OTR, PA-C 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 Ph: (443) 949-0814 | Jennifer Lyn Birchenough, OTR, PA-C 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 Ph: (443) 949-0814 |
Rebekah Chen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7671 Quarterfield Rd Ste 200a, Glen Burnie, MD 21061 Phone: 443-351-3376 Fax: 410-582-9155 |
Mr. Brian Roeder, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 301 Hospital Dr, Suite 803, Glen Burnie, MD 21061 Phone: 410-553-8160 Fax: 410-553-8159 |
Danielle Dayton Holloway, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 301 Hospital Dr, Emergency Department, Glen Burnie, MD 21061 Phone: 410-787-4565 |
Mr. Reyadh David Al-banna, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 301 Hospital Dr, Suite 802, Glen Burnie, MD 21061 Phone: 410-553-8290 Fax: 410-553-8288 |
Stefanie R Coles, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7116 Ritchie Hwy, Glen Burnie, MD 21061 Phone: 443-577-0277 |
Mr. Manuel Skow, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7711 Quarterfield Rd, Suite A, Glen Burnie, MD 21061 Phone: 410-761-5560 Fax: 410-761-5734 |
Sylvia Brandenberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-787-4000 |