Alina Gerasymova, PA-C is a medicare enrolled "Physician Assistant" physician in Ellicott City, Maryland. Her current practice location is
4801 Dorsey Hall Dr Ste 140, Ellicott City, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 992-4100.
Alina Gerasymova is licensed to practice in Maryland (license number C06647) 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 1205347994.
Physician's Profile
Full Name | Alina Gerasymova |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 4801 Dorsey Hall Dr Ste 140, Ellicott City, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205347994
- Provider Enumeration Date: 10/20/2017
- Last Update Date: 11/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173990447
- Enrollment ID: I20221031002073
Medical Identifiers
Medical identifiers for Alina Gerasymova such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205347994 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207NS0135X | Dermatology - Procedural Dermatology | C0006647 (Maryland) | Secondary |
363A00000X | Physician Assistant | C06647 (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. Alina Gerasymova 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 |
Alina Gerasymova, PA-C 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Alina Gerasymova, PA-C 4801 Dorsey Hall Dr Ste 140, Ellicott City, MD 21042-7703 Ph: (410) 992-4100 |
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