| Terra D Rudd, PA | |
|
100 Brown St, Chestertown, MD 21620-1435 | |
| (410) 778-7668 | |
| (410) 810-7186 |
| Full Name | Terra D Rudd |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 100 Brown St, Chestertown, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205041241 | NPI | - | NPPES |
| C0005108 | Other | MD | PHYSICIAN ASSISTANT STATE LICENSE |
| 0649 | Other | SD | LICENSE |
| 0010-01645 | Other | NC | STATE MEDICAL LICENSE |
| Entity Name | Vidant Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Terra D Rudd, PA 100 Brown St, Chestertown, MD 21620-1435 Ph: (410) 778-7668 | Terra D Rudd, PA 100 Brown St, Chestertown, MD 21620-1435 Ph: (410) 778-7668 |
Mrs. Ann Marie Lawson, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 250 Haacke Dr, Chestertown, MD 21620 Phone: 410-778-0003 Fax: 410-778-4450 |
Jocelyn Cimino, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 201 Talbot Blvd, Chestertown, MD 21620 Phone: 410-778-3445 |
Mary Elizabeth Sabasteanski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Brown St, Chestertown, MD 21620 Phone: 410-778-3300 |
Miss Brooke Alexandra Dadds, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 600 Hoffecker Rd, Chestertown, MD 21620 Phone: 443-786-3913 |
Jean Frenkil Ayers, PSY D, PA-C, LCM Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 112 S Cross St Fl 2, Chestertown, MD 21620 Phone: 443-282-0481 |
Mr. Rudolph Edward Jenkins Iii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Brown St, Chestertown, MD 21620 Phone: 410-778-3300 |
Teresa Campos, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Brown St, Chestertown, MD 21620 Phone: 410-778-3300 |