| Mandy Rachuba Criado, PA-C | |
|
1447 York Rd Ste 102, Lutherville, MD 21093-6074 | |
| (667) 214-1171 | |
| (410) 337-5107 |
| Full Name | Mandy Rachuba Criado |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 1447 York Rd Ste 102, Lutherville, Maryland |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902955271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C03177 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johns Hopkins Hospital, The | Baltimore, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Maryland Dermatologists Pa | 7810888484 | 17 |
| Johns Hopkins University | 8921903147 | 2886 |
| Entity Name | St Paul Place Specialists, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871549196 PECOS PAC ID: 7719882943 Enrollment ID: O20031202000084 |
| Entity Name | Johns Hopkins University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
| Entity Name | University of Maryland Dermatologists PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659304152 PECOS PAC ID: 7810888484 Enrollment ID: O20040323000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Mandy Rachuba Criado, PA-C 1447 York Rd Ste 102, Lutherville, MD 21093-6074 Ph: (667) 214-1171 | Mandy Rachuba Criado, PA-C 1447 York Rd Ste 102, Lutherville, MD 21093-6074 Ph: (667) 214-1171 |
Mr. Edward M Klepper Ii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 W Ridgely Rd Ste 4b, Lutherville, MD 21093 Phone: 410-561-1960 |
Asaf Singerman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1766 York Rd, Lutherville, MD 21093 Phone: 443-275-5090 |
Raven A Morris, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 10755 Falls Rd, Suite 160, Lutherville, MD 21093 Phone: 410-583-2777 Fax: 410-583-2782 |
Monica Borcherts Ramirez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 63 E Padonia Rd, Lutherville, MD 21093 Phone: 734-936-2047 |
Alissa Joy Attman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 W Ridgely Rd, Lutherville, MD 21093 Phone: 410-561-1960 |
Ms. Stephanie Diane Johnson, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10755 Falls Rd, Suite 160, Lutherville, MD 21093 Phone: 410-583-2777 Fax: 410-583-2782 |
Prof. Jack A. Goble Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10755 Falls Rd, Suite 160, Lutherville, MD 21093 Phone: 410-285-2777 |