Suzette Scipio - Ettienne, MD | |
2905 Mitchellville Rd, Ste 115, Bowie, MD 20716-1385 | |
(301) 390-7960 | |
(301) 218-2800 |
Full Name | Suzette Scipio - Ettienne |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2905 Mitchellville Rd, Bowie, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730252594 | NPI | - | NPPES |
363101000 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | D0046373 (Maryland) | Primary |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
Mailing Address | Practice Location Address |
---|---|
Suzette Scipio - Ettienne, MD 2905 Mitchellville Rd, Ste 115, Bowie, MD 20716-1385 Ph: (301) 390-7960 | Suzette Scipio - Ettienne, MD 2905 Mitchellville Rd, Ste 115, Bowie, MD 20716-1385 Ph: (301) 390-7960 |
Dr. Amina T Watson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 Science Drive, Suite 102, Bowie, MD 20715 Phone: 240-556-1000 | |
Dr. Toni Lynn Thompson-chittams, D.O Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4357 Northview Dr, Bowie, MD 20716 Phone: 301-352-6515 Fax: 301-352-6516 | |
Dr. Valorie Anlage, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 17001 Science Drive, Suite 116, Bowie, MD 20715 Phone: 301-464-2300 Fax: 301-776-8052 | |
Dr. Brenda Karen Pettus-bellamy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6915 Laurel Bowie Rd, Suite 301, Bowie, MD 20715 Phone: 301-249-8838 Fax: 301-249-5334 | |
Dr. Jeannine Avis Clark, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6915 Laurel Bowie Road, Suite 301, Bowie, MD 20715 Phone: 301-249-8838 Fax: 301-249-5334 | |
Dr. Necole Elease Washington, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2905 Mitchellville Rd, Suite 108, Bowie, MD 20716 Phone: 301-218-0398 Fax: 301-218-0040 |