| Olivia Cynthia Ambursley-gries, | |
|
901 Harry S Truman Dr N, Largo, MD 20774-5477 | |
| (240) 677-1000 | |
| Not Available |
| Full Name | Olivia Cynthia Ambursley-gries |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 901 Harry S Truman Dr N, Largo, 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 |
|---|---|---|---|
| 1376359190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C09742 (Maryland) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Md Capital Region Medical Center | Upper marlboro, MD | Hospital |
| Inova Fairfax Hospital | Falls church, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dimensions Healthcare Associates, Inc | 1557269743 | 198 |
| Inova Health Care Services | 2466351093 | 1821 |
| Inova Health Care Services | 2466351093 | 1821 |
| Entity Name | Dimensions Healthcare Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346354834 PECOS PAC ID: 1557269743 Enrollment ID: O20031226000032 |
| Entity Name | Inova Health Care Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644 |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia Cynthia Ambursley-gries, 2130 P St Nw Apt 206, Washington, DC 20037-1071 Ph: (517) 648-7688 | Olivia Cynthia Ambursley-gries, 901 Harry S Truman Dr N, Largo, MD 20774-5477 Ph: (240) 677-1000 |
Felicia C Elvis, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774 Phone: 301-618-5500 |
Tara Janen Mahan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 Harry S Truman Dr N Ste 500, Largo, MD 20774 Phone: 301-321-1122 |
Truc Anh Vu, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 901 Harry S Truman Dr N, Largo, MD 20774 Phone: 240-677-1000 |
Kristina M Eley, MD Physician Assistant Medicare: Medicare Enrolled Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774 Phone: 301-618-5500 |
Mr. Jatin R Matta, PA-C, MPAS Physician Assistant Medicare: Medicare Enrolled Practice Location: 1450 Mercantile Ln, Suite 217, Largo, MD 20774 Phone: 301-583-7770 Fax: 301-583-9414 |
Henry Tran, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 Harry S Truman Dr N, Largo, MD 20774 Phone: 240-677-1000 |
Alexandra Remesch, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 Harry S Truman Dr N, Largo, MD 20774 Phone: 240-677-1000 |