| Madison Wylie Hawkes Gagern, | |
|
8178 Lark Brown Rd Ste 101, Elkridge, MD 21075-6438 | |
| (410) 646-4800 | |
| Not Available |
| Full Name | Madison Wylie Hawkes Gagern |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 8178 Lark Brown Rd Ste 101, Elkridge, 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 |
|---|---|---|---|
| 1043852411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Agnes Hospital | Baltimore, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maryland Spine And Brain Specialists, Llc | 0547223216 | 3 |
| Entity Name | Maryland Spine and Brain Specialists, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639359508 PECOS PAC ID: 0547223216 Enrollment ID: O20041104000764 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Wylie Hawkes Gagern, 253 Poe Ct, Severna Park, MD 21146-2136 Ph: (301) 873-2902 | Madison Wylie Hawkes Gagern, 8178 Lark Brown Rd Ste 101, Elkridge, MD 21075-6438 Ph: (410) 646-4800 |
Mrs. Brittney Grace Hughes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6518 Meadowridge Rd, Suite 106, Elkridge, MD 21075 Phone: 443-393-0223 Fax: 443-393-0215 |
Mr. Daniel Metz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7472 Cedar Grove Ln, Elkridge, MD 21075 Phone: 443-506-6807 |
Olufemi Otubanjo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6480 Old Waterloo Rd, Elkridge, MD 21075 Phone: 410-799-0291 |
Miss Nicole Elizabeth Dipeppe, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6518 Meadowridge Rd, Ste 106, Elkridge, MD 21075 Phone: 410-393-0223 |
Daniel Robert Mcgreevy, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5908 Spring Leaf Ct, Elkridge, MD 21075 Phone: 410-660-0626 |
Danielle Rebecca Tolson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6020 Meadowridge Center Dr, Elkridge, MD 21075 Phone: 410-872-1600 Fax: 410-799-1595 |
Janet Angelique Browne-avery, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6095 Marshalee Dr, Ste 100, Elkridge, MD 21075 Phone: 443-871-1876 Fax: 866-515-2777 |