| Mrs Wendy Wang De Silva, GNP | |
|
3110 Gracefield Rd, Silver Spring, MD 20904-1820 | |
| (301) 572-8340 | |
| Not Available |
| Full Name | Mrs Wendy Wang De Silva |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 27 Years |
| Location | 3110 Gracefield Rd, Silver Spring, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649200825 | NPI | - | NPPES |
| 051012200 | Medicaid | MD | |
| 0060 | Other | BCBS DC | |
| 0943SE-891740-02 | Other | CAREFIRST BCBS OF MD | |
| 522096682004 | Other | TRICARE NORTH | |
| 89174002 | Other | CAREFIRST MD | |
| 9680-0048 | Other | CAREFIRST BCBS OF DC | |
| WNP11075B | Other | CA | PPIN |
| 0060 | Other | BCBS OF DC | |
| 0943ER-891740-02 | Other | CAREFIRST BCBS OF MD | |
| 8307572 | Other | EVERCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 471109 (California) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | R175265 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Erickson Health Medical Group Of Maryland, Pc | 2860304136 | 39 |
| Entity Name | Erickson Health Medical Group Of Maryland, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205856549 PECOS PAC ID: 2860304136 Enrollment ID: O20031104000610 |
| Entity Name | Fried And Wilks, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194054171 PECOS PAC ID: 4385770783 Enrollment ID: O20100324000957 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Wendy Wang De Silva, GNP 5730 Executive Dr Ste 230, Catonsville, MD 21228-1762 Ph: () - | Mrs Wendy Wang De Silva, GNP 3110 Gracefield Rd, Silver Spring, MD 20904-1820 Ph: (301) 572-8340 |
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