| Mr Austin Louis Bentley, PA | |
|
701 Charles St, La Plata, MD 20646-5930 | |
| (240) 686-2300 | |
| (240) 686-2330 |
| Full Name | Mr Austin Louis Bentley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 701 Charles St, La Plata, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417531765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C08130 (Maryland) | Primary |
| 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: O20040126000955 |
| Entity Name | Crh MD Management LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598435059 PECOS PAC ID: 2466841028 Enrollment ID: O20211119001771 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Austin Louis Bentley, PA 2612 Pebblebrook Terrace Ct, Waldorf, MD 20603-3970 Ph: (301) 706-1894 | Mr Austin Louis Bentley, PA 701 Charles St, La Plata, MD 20646-5930 Ph: (240) 686-2300 |
Ms. Diane H Stowers, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 701 Charles St, La Plata, MD 20646 Phone: 304-609-4410 |
Alpesh Saiduldina, DMS PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 5 Garrett Ave, La Plata, MD 20646 Phone: 703-220-5646 |
Brandi Rae Senior, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16 N La Plata Ct, La Plata, MD 20646 Phone: 301-392-3330 Fax: 301-392-3950 |
Lindsay Ilene Dibastiani, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5 Garrett Ave, La Plata, MD 20646 Phone: 301-609-4000 |
Mamata Blon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5 Garrett Ave, La Plata, MD 20646 Phone: 301-609-4000 |
Mr. Edgar F Peithman, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 Charles St, La Plata, MD 20646 Phone: 301-609-4000 |
Mrs. Julie D Winkler, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 16 N La Plata Ct, La Plata, MD 20646 Phone: 301-392-3330 Fax: 301-392-3950 |