S Michelle Thornblade, PA C in Waldorf, MD - Medicare Physician Assistant

S Michelle Thornblade, PA C is a medicare enrolled "Physician Assistant" in Waldorf, Maryland. Her current practice location is 3975 Saint Charles Pkwy, Waldorf, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 645-6800.

S Michelle Thornblade is licensed to practice in Maryland (license number C0002969) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629079454.

Contact Information

	S Michelle Thornblade, PA C
	3975 Saint Charles Pkwy, Waldorf, MD 20602-2683
	(301) 645-6800
	(301) 645-8696

Map and Direction

Provider's Profile

Full Name	S Michelle Thornblade
Gender	Female
Speciality	Physician Assistant
Location	3975 Saint Charles Pkwy, Waldorf, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629079454
Provider Enumeration Date: 08/02/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2567530058
Enrollment ID: I20081010000425

Medical Identifiers

Medical identifiers for S Michelle Thornblade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629079454	NPI	-	NPPES
1421	Other	CO	LICENSE (EXPIRED)
PA02088	Other	TX	PA LICENSE (INACTIVE STAT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	C0002969 (Maryland)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. S Michelle Thornblade is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
S Michelle Thornblade, PA C 330 N Howard St, Baltimore, MD 21201-3610 Ph: (410) 576-1400	S Michelle Thornblade, PA C 3975 Saint Charles Pkwy, Waldorf, MD 20602-2683 Ph: (301) 645-6800

Reviews and Comments

Physician Assistant Nurses in Waldorf, MD

Mrs. Chinyere Ngozi Eze, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11750 Business Park Dr, Suite 103, Waldorf, MD 20601 Phone: 240-419-3865
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Miss Monica Renee Leid, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3261 Old Washington Rd Ste 3010, Waldorf, MD 20602 Phone: 855-527-7246 Fax: 866-229-5063
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Lilli Elizabeth Conner, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12070 Old Line Ctr Ste 303, Waldorf, MD 20602 Phone: 301-645-5100
Ili Wathen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3500 Old Washington Rd Ste 201, Waldorf, MD 20602 Phone: 301-396-2003 Fax: 240-222-3134
Emily Rose Caplan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10 Saint Patricks Dr, Waldorf, MD 20603 Phone: 301-373-7900 Fax: 301-373-6900

S Michelle Thornblade, PA C - Medicare Physician Assistant in Waldorf, MD