| Mrs Virginia Harte-titus, PA-C | |
|
110 Baughmans Ln, Suite 270, Frederick, MD 21702-4059 | |
| (301) 846-0300 | |
| (301) 662-6047 |
| Full Name | Mrs Virginia Harte-titus |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 110 Baughmans Ln, Frederick, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093730327 | NPI | - | NPPES |
| 250442 | Other | KAISER | |
| 93485 | Medicaid | MD | |
| 012171 | Other | JOHNS HOPKINS HEALTHCARE | |
| 961574 | Other | NCPPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C01045 (Maryland) | Primary |
| Entity Name | Comptroller of Maryland Central Payroll Bureau |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841281680 PECOS PAC ID: 7416859327 Enrollment ID: O20040122000210 |
| Entity Name | Lifebridge Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174815807 PECOS PAC ID: 3678751468 Enrollment ID: O20110627000318 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Virginia Harte-titus, PA-C 9649 Belair Rd, Second Floor, Baltimore, MD 21236-1100 Ph: (410) 248-2642 | Mrs Virginia Harte-titus, PA-C 110 Baughmans Ln, Suite 270, Frederick, MD 21702-4059 Ph: (301) 846-0300 |
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 |