| Mr Carlton Wayne Mcclellan, PA-C | |
|
196 Thomas Johnson Dr, Ste 215, Frederick, MD 21702-4397 | |
| (301) 668-9988 | |
| (301) 668-9977 |
| Full Name | Mr Carlton Wayne Mcclellan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 196 Thomas Johnson Dr, Frederick, 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 |
|---|---|---|---|
| 1477673622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | C002852 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group, Llc | 4385682061 | 1522 |
| Entity Name | Newbridge Spine and Pain Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790921450 PECOS PAC ID: 7113073024 Enrollment ID: O20090917000613 |
| 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: O20140522000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Carlton Wayne Mcclellan, PA-C 196 Thomas Johnson Dr, Ste 215, Frederick, MD 21702-4397 Ph: (301) 668-9988 | Mr Carlton Wayne Mcclellan, PA-C 196 Thomas Johnson Dr, Ste 215, Frederick, MD 21702-4397 Ph: (301) 668-9988 |
Ms. Erin Louise Mcclure, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 Thomas Johnson Dr Ste H, Frederick, MD 21702 Phone: 240-453-0050 Fax: 240-453-0053 |
Ms. Jeanette E Foronda, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 240-215-6310 Fax: 240-566-7754 |
Jonathan Parker, Physician Assistant Medicare: Medicare Enrolled Practice Location: 501 W 7th St, Frederick, MD 21701 Phone: 301-698-8374 |
Evelyn Major, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7109 Guilford Dr Ste 300, Frederick, MD 21704 Phone: 301-695-6800 |
Ms. Roberta R Taylor, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 85 Thomas Johnson Ct, Suite B, Frederick, MD 21702 Phone: 301-663-9440 Fax: 301-663-4602 |
Mrs. Beth Renee Smolko, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 70 Thomas Johnson Dr, Suite 101, Frederick, MD 21702 Phone: 301-668-9393 Fax: 301-668-4480 |
Kelly Hausenbauer, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 310 W Ninth St, Frederick, MD 21701 Phone: 301-695-6800 Fax: 301-695-6891 |