Stephanie Addison, MD | |
655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | |
(240) 632-4300 | |
Not Available |
Full Name | Stephanie Addison |
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Gender | Female |
Speciality | Pediatrics - Adolescent Medicine |
Location | 655 Watkins Mill Rd, Gaithersburg, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1881816866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | MD038714 (District Of Columbia) | Primary |
208000000X | Pediatrics | MT190203 (Pennsylvania) | Secondary |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
Mailing Address | Practice Location Address |
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Stephanie Addison, MD 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 Ph: (240) 632-4300 | Stephanie Addison, MD 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 Ph: (240) 632-4300 |
Dr. Esther Shinyoung Song, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 655 Watkins Mill Rd, Gaithersburg, MD 20879 Phone: 240-632-4000 | |
Dr. Nelson T Niu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 843 Quince Orchard Blvd, Suite A, Gaithersburg, MD 20878 Phone: 301-990-2544 Fax: 301-990-2545 | |
Yetunde Bucknor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 220 Girard St Ste 100, Gaithersburg, MD 20877 Phone: 301-216-0880 Fax: 301-216-2891 | |
Dr. Evonne D Bing, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Girard St, Suite 212-a, Gaithersburg, MD 20877 Phone: 301-216-0880 Fax: 301-216-2891 | |
Dr. Emmalyn Cruz De Claro, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Girard St, Suite 212-a, Gaithersburg, MD 20877 Phone: 301-216-0880 Fax: 301-216-2891 | |
Dr. Ariel Dubelman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 555 Quince Orchard Road, Suite 350, Gaithersburg, MD 20878 Phone: 301-926-3633 Fax: 301-948-9884 | |
Rachel L Rennert, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 903 Russell Ave, Ste 301, Gaithersburg, MD 20879 Phone: 301-869-2292 Fax: 301-869-4223 |