| Kathleen Andersen, PAC | |
|
11711 Livingston Rd, Fort Washington, MD 20744-5151 | |
| (301) 203-2250 | |
| Not Available |
| Full Name | Kathleen Andersen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 11711 Livingston Rd, Fort Washington, 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 |
|---|---|---|---|
| 1578742375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | MA053150 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ackerly Mcbride Group Pllc | 5991143927 | 2 |
| Privia Medical Group, Llc | 4385682061 | 1522 |
| 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: O20050422000298 |
| Entity Name | Emergency Medicine Associates P.A., P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20070919000389 |
| Entity Name | Johns Hopkins University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386631810 PECOS PAC ID: 1052223229 Enrollment ID: O20220726000397 |
| Entity Name | Ackerly Mcbride Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679342554 PECOS PAC ID: 5991143927 Enrollment ID: O20240409004234 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Andersen, PAC 8186 Lark Brown Rd, Ste 201, Elkridge, MD 21075-6434 Ph: (301) 203-2250 | Kathleen Andersen, PAC 11711 Livingston Rd, Fort Washington, MD 20744-5151 Ph: (301) 203-2250 |
Virginia K Elsinger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11711 Livingston Rd, Fort Washington, MD 20744 Phone: 301-203-2250 |
Mrs. Germeen Adel Sidarous, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11701 Livingston Rd Ste 302, Fort Washington, MD 20744 Phone: 301-292-6010 |
Ms. Michelle Leslie Harlow, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11711 Livingston Rd, Fort Washington, MD 20744 Phone: 301-203-2250 |
Sarah White, Physician Assistant Medicare: Medicare Enrolled Practice Location: 11711 Livingston Rd, Fort Washington, MD 20744 Phone: 301-203-2250 |
Toni Davison Morrow, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11711 Livingston Rd, Fort Washington, MD 20744 Phone: 301-203-2253 |
Dr. Obele Acha Ngwodo, M.D., P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9915 Wenzel Ln, Suite B, Fort Washington, MD 20744 Phone: 240-247-7696 |
Merlyn Angella Boakai, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 800 Sero Pine Ln, Fort Washington, MD 20744 Phone: 510-368-4238 |