| Luke Johnathan Blankenheim, PA-C | |
|
8926 Woodyard Rd, Suite 701, Clinton, MD 20735-4220 | |
| (301) 856-1682 | |
| (301) 856-8214 |
| Full Name | Luke Johnathan Blankenheim |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 8926 Woodyard Rd, Clinton, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174829774 | NPI | - | NPPES |
| CI2264 | Other | RAILROAD MEDICARE GROUP PTAN | |
| C0004416 | Other | MARYLAND LICENSE | |
| P00992732 | Other | RAILROAD MEDICARE INDIVIDUAL PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C0004416 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Luke Johnathan Blankenheim, PA-C 8926 Woodyard Rd, Suite 701, Clinton, MD 20735-4220 Ph: (301) 856-1682 | Luke Johnathan Blankenheim, PA-C 8926 Woodyard Rd, Suite 701, Clinton, MD 20735-4220 Ph: (301) 856-1682 |
Elizabeth Myers Fisher, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Medstar Southern Maryland Hospital Center, 7503 Surratts Road, Clinton, MD 20735 Phone: 301-877-4505 | |
Ms. Eline Leonore Mul, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8926 Woodyard Rd Ste 602, Clinton, MD 20735 Phone: 301-868-9414 Fax: 301-868-6055 | |
Elizabeth Garcia, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10401 Hospital Dr Ste 101, Clinton, MD 20735 Phone: 301-856-2323 | |
Norman Russell Stackhouse, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 9131 Piscataway Rd, Suite 600, Clinton, MD 20735 Phone: 301-868-0110 Fax: 301-856-0604 | |
Leslie Covington Fincher, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7503 Surratts Rd, Emergency Dept, Medstar Southern Maryland Hospital, Clinton, MD 20735 Phone: 301-877-4500 | |
Kathleen Cheseldine, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 855-633-0205 | |
Madeleine Corrado, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 410-772-6500 |