| Mr Barry Eugene Thompson, PA-C | |
|
12200 Annapolis Rd Ste 123, Glenn Dale, MD 20769-9182 | |
| (301) 364-9292 | |
| (301) 552-9743 |
| Full Name | Mr Barry Eugene Thompson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 36 Years |
| Location | 12200 Annapolis Rd Ste 123, Glenn Dale, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083686794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C01323 (Maryland) | Primary |
| 363AM0700X | Physician Assistant - Medical | C0001323 (Maryland) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regenerative Orthopedics And Sports Medicine Llc | 1355600941 | 11 |
| Privia Medical Group, Llc | 4385682061 | 1522 |
| Entity Name | Mgmc LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891797148 PECOS PAC ID: 9537073119 Enrollment ID: O20031220000056 |
| 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 | Centers for Advanced Orthopaedics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265871958 PECOS PAC ID: 8123260981 Enrollment ID: O20131024001780 |
| 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 |
| Entity Name | Regenerative Orthopedics and Sports Medicine LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275933533 PECOS PAC ID: 1355600941 Enrollment ID: O20180104000398 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Barry Eugene Thompson, PA-C 12200 Annapolis Rd Ste 123, Glenn Dale, MD 20769-9182 Ph: (301) 364-9292 | Mr Barry Eugene Thompson, PA-C 12200 Annapolis Rd Ste 123, Glenn Dale, MD 20769-9182 Ph: (301) 364-9292 |
Eleanor Mcguire, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12150 Annapolis Rd Ste 308, Glenn Dale, MD 20769 Phone: 301-805-0006 |
Anna Elizabeth Docktor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12150 Annapolis Rd Ste 300, Glenn Dale, MD 20769 Phone: 301-249-5384 Fax: 301-249-6047 |
Mrs. Tatia Ford Johnson, MPAS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 12150 Annapolis Rd, Suite #300, Glenn Dale, MD 20769 Phone: 301-249-5384 Fax: 301-249-6047 |
Glenda Prudencio, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 12150 Annapolis Rd Ste 308, Glenn Dale, MD 20769 Phone: 301-805-0006 |
Emmy L Estrada, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12150 Annapolis Rd Ste 208, Glenn Dale, MD 20769 Phone: 301-218-0398 |