| Norman Russell Stackhouse, PA | |
|
9131 Piscataway Rd, Suite 600, Clinton, MD 20735-2508 | |
| (301) 868-0110 | |
| (301) 856-0604 |
| Full Name | Norman Russell Stackhouse |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 9131 Piscataway Rd, Clinton, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053412569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | C0000861 (Maryland) | Primary |
| Entity Name | Heart Center of Southern Maryland, L.L.P. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669451175 PECOS PAC ID: 5193710325 Enrollment ID: O20100115000348 |
| Mailing Address | Practice Location Address |
|---|---|
| Norman Russell Stackhouse, PA 9131 Piscataway Rd, Suite 600, Clinton, MD 20735-2508 Ph: (301) 868-0110 | Norman Russell Stackhouse, PA 9131 Piscataway Rd, Suite 600, Clinton, MD 20735-2508 Ph: (301) 868-0110 |
Elizabeth Myers Fisher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Medstar Southern Maryland Hospital Center, 7503 Surratts Road, Clinton, MD 20735 Phone: 301-877-4505 |
Ms. Eline Leonore Mul, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8926 Woodyard Rd Ste 602, Clinton, MD 20735 Phone: 301-868-9414 Fax: 301-868-6055 |
Elizabeth Garcia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10401 Hospital Dr Ste 101, Clinton, MD 20735 Phone: 301-856-2323 |
Leslie Covington Fincher, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7503 Surratts Rd, Emergency Dept, Medstar Southern Maryland Hospital, Clinton, MD 20735 Phone: 301-877-4500 |
Kathleen Cheseldine, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 855-633-0205 |
Madeleine Corrado, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 410-772-6500 |
Matthew L Hurley, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 301-870-7001 Fax: 301-870-6697 |