Mr Thomas Glen Hettich, PA-C in Germantown, MD - Medicare Physician Assistant

Mr Thomas Glen Hettich, PA-C is a medicare enrolled "Physician Assistant" in Germantown, Maryland. His current practice location is 21044 Frederick Rd, Germantown, Maryland. You can reach out to his office (for appointments etc.) via phone at (240) 238-5432.

Mr Thomas Glen Hettich is licensed to practice in Maryland (license number C0009860) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992765747.

Contact Information

	Mr Thomas Glen Hettich, PA-C
	21044 Frederick Rd, Germantown, MD 20876-4132
	(240) 238-5432
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Thomas Glen Hettich
Gender	Male
Speciality	Physician Assistant
Location	21044 Frederick Rd, Germantown, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992765747
Provider Enumeration Date: 03/24/2006
Last Update Date: 05/29/2025

Medicare PECOS Information:

PECOS PAC ID: 6305827148
Enrollment ID: I20250508000303

Medical Identifiers

Medical identifiers for Mr Thomas Glen Hettich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992765747	NPI	-	NPPES
1049243	Other		NCCPA CERTIFICATION NUM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA9108323 (Florida)	Secondary
363A00000X	Physician Assistant	C0009860 (Maryland)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Thomas Glen Hettich is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Thomas Glen Hettich, PA-C 3534 Diaz St, Trinity, FL 34655-2163 Ph: (727) 644-2597	Mr Thomas Glen Hettich, PA-C 21044 Frederick Rd, Germantown, MD 20876-4132 Ph: (240) 238-5432

Reviews and Comments

Physician Assistant Nurses in Germantown, MD

Jason Charles Stanford, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 19466 Caravan Dr, Germantown, MD 20874 Phone: 214-227-2457 Fax: 214-764-0880
Ms. Marnie Bernard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19777 Frederick Rd, Germantown, MD 20876 Phone: 888-808-6483
Nicole Ann Young, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 19801 Observation Dr, Germantown, MD 20876 Phone: 301-557-6000
Megan Elizabeth Walling, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19777 Frederick Rd, Germantown, MD 20876 Phone: 888-808-6483
Sarah Nell Shomper, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 20010 Century Blvd Ste 200, Germantown, MD 20874 Phone: 240-686-2300
Anusha Jailwala, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 Phone: 301-339-8027
Jessica L O'keefe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19847 Century Blvd Ste 205, Germantown, MD 20874 Phone: 240-912-2206 Fax: 240-912-2381

Mr Thomas Glen Hettich, PA-C - Medicare Physician Assistant in Germantown, MD