Dr Tristan J Shockley, MD | |
14205 Park Center Dr, Suite 204, Laurel, MD 20707-5246 | |
(240) 786-1001 | |
Not Available |
Full Name | Dr Tristan J Shockley |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 19 Years |
Location | 14205 Park Center Dr, Laurel, 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 |
---|---|---|---|
1932242542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | MD038330 (District Of Columbia) | Secondary |
208100000X | Physical Medicine & Rehabilitation | D0068884 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Choice Pain And Rehabilitation Center Llc | 1850534645 | 14 |
Choice Pain And Rehabilitation Center Llc | 1850534645 | 14 |
Choice Pain And Rehabilitation Center Llc | 1850534645 | 14 |
Entity Name | Choice Pain & Rehabilitation Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568809598 PECOS PAC ID: 1850534645 Enrollment ID: O20130827000063 |
Entity Name | Maryland Ambulatory Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1487280871 PECOS PAC ID: 8820417942 Enrollment ID: O20200923000884 |
Mailing Address | Practice Location Address |
---|---|
Dr Tristan J Shockley, MD 9900 Greenbelt Rd, Suite E117, Lanham, MD 20706-2255 Ph: (240) 786-1001 | Dr Tristan J Shockley, MD 14205 Park Center Dr, Suite 204, Laurel, MD 20707-5246 Ph: (240) 786-1001 |
Pamela Summers, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 7350 Van Dusen Rd, Laurel, MD 20707 Phone: 301-725-4300 | |
Jessica Simeone, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 14700 Baltimore Ave, #106, Laurel, MD 20707 Phone: 240-754-2203 | |
Joyce Riveral, PT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 13946 Baltimore Ave, Laurel, MD 20707 Phone: 301-498-2212 Fax: 301-498-2213 | |
Alana Williams, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 14205 Park Center Dr Ste 204, Laurel, MD 20707 Phone: 301-853-0093 |