Dr Jason Pothast, MD | |
18109 Prince Philip Dr, Suite 155, Olney, MD 20832-1519 | |
(301) 570-7415 | |
(301) 570-7416 |
Full Name | Dr Jason Pothast |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 16 Years |
Location | 18109 Prince Philip Dr, Olney, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508003971 | NPI | - | NPPES |
0308871 | Medicaid | NJ | |
102738394 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | D0078451 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Medstar Good Samaritan Hospital | Baltimore, MD | Hospital |
Medstar Union Memorial Hospital | Baltimore, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstar Medical Group Ii Llc | 0547413825 | 1790 |
Medstar Medical Group Ii Llc | 0547413825 | 1790 |
Entity Name | Medstar Medical Group Ii Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
Mailing Address | Practice Location Address |
---|---|
Dr Jason Pothast, MD 18109 Prince Philip Dr, Suite 155, Olney, MD 20832-1519 Ph: (301) 570-7415 | Dr Jason Pothast, MD 18109 Prince Philip Dr, Suite 155, Olney, MD 20832-1519 Ph: (301) 570-7415 |
Sarah Zotti, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3414 Olandwood Ct, Olney, MD 20832 Phone: 301-774-0624 | |
Fariba Shah, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 18109 Prince Philip Dr, Suite 155, Olney, MD 20832 Phone: 301-570-7415 Fax: 301-570-7416 | |
Thomas Heckman, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 18109 Prince Philip Dr Ste 155, Olney, MD 20832 Phone: 301-570-7415 Fax: 301-570-7416 |