| Ms Maureen L O'brien, PA | |
|
2000 Medical Parkway, Suite 200, Annapolis, MD 21401-3744 | |
| (443) 481-5300 | |
| (443) 481-6705 |
| Full Name | Ms Maureen L O'brien |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 2000 Medical Parkway, 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 |
|---|---|---|---|
| 1740275148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C0002505 (Maryland) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | C02505 (Maryland) | Primary |
| Entity Name | Luminis Health Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Maureen L O'brien, PA Po Box 64294, Baltimore, MD 21264-4294 Ph: (443) 481-6573 | Ms Maureen L O'brien, PA 2000 Medical Parkway, Suite 200, Annapolis, MD 21401-3744 Ph: (443) 481-5300 |
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 |