| Mr Robert L Crowder, PA | |
|
2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046 | |
| (410) 266-2720 | |
| (410) 224-0209 |
| Full Name | Mr Robert L Crowder |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 2002 Medical Pkwy, Annapolis, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932108768 | NPI | - | NPPES |
| D66570 | Other | MEDICAL LICENSE | |
| 0045 | Other | BCBS-DC | |
| 1831164342 | Other | NPI NUMBER | |
| 227069787 | Other | CHAMPUS/TRICARE PGBA | |
| I28465 | Other | UPIN | |
| 413802300 | Medicaid | MD | |
| 7736577 | Other | AETNA | |
| 1697390 | Other | AETNA/US HEALTHCARE HMO | |
| 92322401 | Other | BCBS-MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | C0002641 (Maryland) | Primary |
| Entity Name | Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912939703 PECOS PAC ID: 0244143170 Enrollment ID: O20031107000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert L Crowder, PA Po Box 64531, Baltimore, MD 21264-4531 Ph: (410) 280-6568 | Mr Robert L Crowder, PA 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046 Ph: (410) 266-2720 |
Albert E. Coombs, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 250 Wood Rd, Annapolis, MD 21402 Phone: 410-293-4378 |
Samantha Noelle Fravel, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 166 Defense Hwy Ste 302, Annapolis, MD 21401 Phone: 410-449-2060 |
Clifford Amos, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Harry S Truman Pkwy, Annapolis, MD 21401 Phone: 410-897-0272 Fax: 410-897-1968 |
Teresa Lee Gore, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2114 Generals Hwy, Annapolis, MD 21401 Phone: 410-721-0311 |
Jill Monroe Schumacher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2000 Medical Parkway, Ste 101, Annapolis, MD 21401 Phone: 410-295-8900 Fax: 410-280-4701 |
Marshae Cappaninee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1750 Forest Dr, Annapolis, MD 21401 Phone: 301-535-8913 |
Mrs. Julie A Viera, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2000 Medical Pkwy, Suite 304, Annapolis, MD 21401 Phone: 410-573-9530 Fax: 410-573-9569 |