| Miriam Noelle Dominguez, PA-C | |
|
10750 Columbia Pike Unit 401a, Silver Spring, MD 20901-4402 | |
| (301) 593-6072 | |
| Not Available |
| Full Name | Miriam Noelle Dominguez |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 10750 Columbia Pike Unit 401a, Silver Spring, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831747971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | C07137 (Maryland) | Primary |
| 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 | Patient First Maryland Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265866503 PECOS PAC ID: 4385538735 Enrollment ID: O20140108000578 |
| 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: O20170616001775 |
| Mailing Address | Practice Location Address |
|---|---|
| Miriam Noelle Dominguez, PA-C 10750 Columbia Pike Unit 401a, Silver Spring, MD 20901-4402 Ph: (301) 593-6072 | Miriam Noelle Dominguez, PA-C 10750 Columbia Pike Unit 401a, Silver Spring, MD 20901-4402 Ph: (301) 593-6072 |
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 |
Judy Cao, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2101 Medical Park Dr, Suite 300e, Silver Spring, MD 20902 Phone: 301-754-2222 |
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 |