| Judy Cao, | |
|
2101 Medical Park Dr, Suite 300e, Silver Spring, MD 20902-4053 | |
| (301) 754-2222 | |
| Not Available |
| Full Name | Judy Cao |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 2101 Medical Park Dr, Silver Spring, 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 |
|---|---|---|---|
| 1003288721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C0005846 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Frederick Health Home Care | Frederick, MD | Home health agency |
| Home Call | Frederick, MD | Home health agency |
| Frederick Health Hospital | Frederick, MD | Hospital |
| Jefferson Medical Center | Ranson, WV | Hospital |
| Berkeley Medical Center | Martinsburg, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Care Center Llc | 3274801139 | 286 |
| Amber Hill Physical Therapy Inc | 8527963917 | 336 |
| Entity Name | Privia Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
| Entity Name | Privia Care Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164874426 PECOS PAC ID: 3274801139 Enrollment ID: O20170619000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Judy Cao, 2101 Medical Park Dr, Suite 300e, Silver Spring, MD 20902-4053 Ph: (301) 754-2222 | Judy Cao, 2101 Medical Park Dr, Suite 300e, Silver Spring, MD 20902-4053 Ph: (301) 754-2222 |
Ms. Dana Johns, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10801 Lockwood Dr Ste 280, Silver Spring, MD 20901 Phone: 301-593-6072 Fax: 301-593-6066 |
Ms. Gina M. Carbonaro, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 831 University Blvd E Ste 36a, Silver Spring, MD 20903 Phone: 301-408-2720 |
Deborah Hennen, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 Forest Glen Rd, Silver Spring, MD 20910 Phone: 301-754-7000 |
Tyler Scott Kameh, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 Forest Glen Rd, Silver Spring, MD 20910 Phone: 301-754-7000 |
Aaron John Gygi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10801 Lockwood Dr Ste 160, Silver Spring, MD 20901 Phone: 301-298-1040 |
Karla Urgilez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10301 Georgia Ave Ste 206, Silver Spring, MD 20902 Phone: 301-363-4370 |
Tiffany Passie, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 Forest Glen Rd, Silver Spring, MD 20910 Phone: 301-754-7000 |