| Tatevik Mikaelyan, | |
|
8305 Wisconsin Ave, Bethesda, MD 20814-3103 | |
| (301) 800-7000 | |
| Not Available |
| Full Name | Tatevik Mikaelyan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 8305 Wisconsin Ave, Bethesda, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881095925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | C05503 (Maryland) | Primary |
| Entity Name | Privia Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
| Entity Name | Capital Healthcare PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811239627 PECOS PAC ID: 3779723309 Enrollment ID: O20130702000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Tatevik Mikaelyan, 8305 Wisconsin Ave, Bethesda, MD 20814-3103 Ph: (301) 800-7000 | Tatevik Mikaelyan, 8305 Wisconsin Ave, Bethesda, MD 20814-3103 Ph: (301) 800-7000 |
Jonathan Michael Hjort, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6400 Goldsboro Rd, Suite 400, Bethesda, MD 20817 Phone: 301-263-0800 |
Ms. Sarah Stokes Hatch, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: National Naval Medical Center, 8901 Wisconsin Ave., Bethesda, MD 20889 Phone: 301-295-0196 |
Josiane A Tossa, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6410 Rockledge Dr Ste 660, Bethesda, MD 20817 Phone: 301-571-0019 Fax: 240-482-0555 |
Sheila Rao, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8600 Old Georgetown Rd, Bethesda, MD 20814 Phone: 301-896-2578 |
Susan Cecilia Moreno, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8600 Old Georgetown Rd, Bethesda, MD 20814 Phone: 301-896-7500 |
Annie Kim, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6720a Rockledge Dr Ste 500, Bethesda, MD 20817 Phone: 301-530-7303 |
Amalia Bradburn, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 7500 Old Georgetown Rd Ste 301, Bethesda, MD 20814 Phone: 301-657-9876 Fax: 301-657-8240 |