| Antonietta E Vaillancourt, PA | |
|
9561 White Pillar Ter, Gaithersburg, MD 20882-2816 | |
| (301) 641-8354 | |
| (301) 641-8354 |
| Full Name | Antonietta E Vaillancourt |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 9561 White Pillar Ter, 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 |
|---|---|---|---|
| 1811403033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | C06707 (Maryland) | Primary |
| 363AM0700X | Physician Assistant - Medical | AMD-789 (Hawaii) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Antonietta E Vaillancourt, PA 23600 Rolling Fork Way, Gaithersburg, MD 20882-2808 Ph: (301) 641-8354 | Antonietta E Vaillancourt, PA 9561 White Pillar Ter, Gaithersburg, MD 20882-2816 Ph: (301) 641-8354 |
Tracy Jacinda Branch, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 8501 Plum Creek Dr, Gaithersburg, MD 20882 Phone: 240-246-7510 | |
Mrs. Clara Naomi Baker Mcnamara, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 818 W Diamond Ave Ste 120, Gaithersburg, MD 20878 Phone: 301-963-6334 | |
Mrs. Lana Joan Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 981 Russell Ave, James Matthews, M.d., Gaithersburg, MD 20879 Phone: 301-216-2065 Fax: 301-216-2065 | |
Aynn Jude Dempsey, P.A.-C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 803 Russell Ave, Suite #1, Smc, Gaithersburg, MD 20879 Phone: 301-869-0700 Fax: 301-947-9513 | |
Kaitlin Jordan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 Phone: 410-823-6408 | |
Ms. Jamilah Ali Alexander, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 610 Professional Dr Ste 255, Gaithersburg, MD 20879 Phone: 240-683-6202 Fax: 240-683-6203 | |
Ms. Katherine J. Doneby Smith, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 702 Russell Ave, Ste 100, Gaithersburg, MD 20877 Phone: 301-355-7037 Fax: 301-355-7501 |