| Mr Luis R P Da Conceicao, PAC | |
|
901 Harry S Truman Dr N, Upper Marlboro, MD 20774-5477 | |
| (240) 677-3000 | |
| Not Available |
| Full Name | Mr Luis R P Da Conceicao |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 901 Harry S Truman Dr N, Upper Marlboro, 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 |
|---|---|---|---|
| 1831490135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363A00000X | Physician Assistant | PA78442 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Md Capital Region Medical Center | Upper marlboro, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dimensions Healthcare Associates, Inc | 1557269743 | 198 |
| Entity Name | Dimensions Healthcare Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346354834 PECOS PAC ID: 1557269743 Enrollment ID: O20031226000032 |
| 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: O20070919000389 |
| Entity Name | Medstar Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871843409 PECOS PAC ID: 9335303155 Enrollment ID: O20130513000540 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Luis R P Da Conceicao, PAC 6461 230th St, Oakland Gardens, NY 11364-2713 Ph: (516) 901-5446 | Mr Luis R P Da Conceicao, PAC 901 Harry S Truman Dr N, Upper Marlboro, MD 20774-5477 Ph: (240) 677-3000 |
Christl Danielle Bonaparte, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12222 Mccullagh Ct, Upper Marlboro, MD 20772 Phone: 619-454-6707 |
Monick Fanba, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2502 Moores Plains Blvd, Upper Marlboro, MD 20774 Phone: 240-510-5218 |
Alyssa Rodkey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 Harry S Truman Dr N, Upper Marlboro, MD 20774 Phone: 904-372-3943 Fax: 904-212-1618 |
Katherine H Jones, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 Harry S Truman Dr N, Upper Marlboro, MD 20774 Phone: 240-677-3000 |
Lawrence Joseph Waters, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Upper Marlboro, MD 20774 Phone: 301-618-5500 |
Ms. Denvia B Johnson, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Parkcrest Ct, Upper Marlboro, MD 20774 Phone: 301-350-0295 |
Ajibola Raji, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 9500 Medical Center Dr Ste 105, Upper Marlboro, MD 20774 Phone: 301-615-4133 |