| Vanessa Sparta, PA | |
|
9714 Healthway Dr, Berlin, MD 21811-1154 | |
| (410) 641-3340 | |
| Not Available |
| Full Name | Vanessa Sparta |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 9714 Healthway Dr, Berlin, 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 |
|---|---|---|---|
| 1154638658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C04309 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tidalhealth Peninsula Regional, Inc | Salisbury, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ydiprmc, Llc | 3173897402 | 29 |
| Tidalhealth Atlantic Inc | 2365437837 | 95 |
| Entity Name | Tidalhealth Atlantic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871582171 PECOS PAC ID: 2365437837 Enrollment ID: O20040415000939 |
| Entity Name | Ydiprmc, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447783899 PECOS PAC ID: 3173897402 Enrollment ID: O20170925002220 |
| Entity Name | Tidalhealth Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619504735 PECOS PAC ID: 7113340845 Enrollment ID: O20200714000286 |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa Sparta, PA 11740 Winding Creek Dr, Berlin, MD 21811-2907 Ph: (973) 271-2882 | Vanessa Sparta, PA 9714 Healthway Dr, Berlin, MD 21811-1154 Ph: (410) 641-3340 |
Emily Catherine Laustsen, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9714 Healthway Drive, Berlin, MD 21811 Phone: 410-641-4765 Fax: 410-641-4762 |
Erika Pinto, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11103 Cathage Rd, Berlin, MD 21811 Phone: 410-912-6021 |
Jane A Longest, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 9715 Healthway Dr, Berlin, MD 21811 Phone: 410-548-2343 Fax: 844-332-3891 |
Anna M Freeman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 11101 Cathage Rd., Berlin, MD 21811 Phone: 410-912-6104 Fax: 410-912-6105 |
Craig Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10614 Racetrack Road, Berlin, MD 21811 Phone: 410-208-9761 Fax: 410-208-9764 |
Daniel Hakeem, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9733 Healthway Dr, Berlin, MD 21811 Phone: 410-641-9840 Fax: 410-641-9617 |
Ryan Schwarz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 314 Franklin Ave Ste 201, Berlin, MD 21811 Phone: 410-629-0366 |