Mr Thomas Glen Hettich, PA-C | |
21044 Frederick Rd, Germantown, MD 20876-4132 | |
(240) 238-5432 | |
Not Available |
Full Name | Mr Thomas Glen Hettich |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 21044 Frederick Rd, Germantown, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992765747 | NPI | - | NPPES |
1049243 | Other | NCCPA CERTIFICATION NUM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA9108323 (Florida) | Secondary |
363A00000X | Physician Assistant | C0009860 (Maryland) | Primary |
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 |
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 | |
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 | |
Priyanka Bahl, Physician Assistant Medicare: Medicare Enrolled Practice Location: 20680 Seneca Meadows Pkwy Ste 200, Germantown, MD 20876 Phone: 240-629-3926 |