Elizabeth Moccia, | |
9015 Woodyard Rd Ste 111, Clinton, MD 20735-4226 | |
(301) 599-0900 | |
(301) 599-7828 |
Full Name | Elizabeth Moccia |
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Gender | Female |
Speciality | Pediatrics |
Location | 9015 Woodyard Rd Ste 111, Clinton, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992264147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD210002154 (District Of Columbia) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Childrens Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912939703 PECOS PAC ID: 0244143170 Enrollment ID: O20031107000130 |
Mailing Address | Practice Location Address |
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Elizabeth Moccia, Po Box 744787, Atlanta, GA 30374-4787 Ph: (202) 476-5000 | Elizabeth Moccia, 9015 Woodyard Rd Ste 111, Clinton, MD 20735-4226 Ph: (301) 599-0900 |
Maria Milan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9015 Woodyard Rd Ste 111, Clinton, MD 20735 Phone: 301-599-0900 | |
Dr. Josephine Vergara, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 301-870-7001 Fax: 301-870-6697 | |
Renu Chandra, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9131 Piscataway Rd, #710, Clinton, MD 20735 Phone: 301-868-8654 Fax: 301-856-7298 | |
Patrick Jean-philippe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7501 Surratts Rd, Clinton, MD 20735 Phone: 301-877-4288 Fax: 301-877-2695 | |
Dr. Vigila Constance Harris, MD FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9135 Piscataway Rd, Suite 200, Clinton, MD 20735 Phone: 301-856-2210 Fax: 301-856-2212 | |
Dr. Kermit O Simrel Jr., Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9015 Woodyard Rd, Suite 111, Clinton, MD 20735 Phone: 301-599-0900 Fax: 301-599-7828 | |
Dr. Shawnese Gilpin Clark, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 240-506-8967 |