| Mike Destine, | |
|
5401 Old Court Rd, Randallstown, MD 21133-5103 | |
| (914) 618-2312 | |
| Not Available |
| Full Name | Mike Destine |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 5401 Old Court Rd, Randallstown, 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 |
|---|---|---|---|
| 1679995674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Hospital Center | Randallstown, MD | Hospital |
| Sinai Hospital Of Baltimore | Baltimore, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Hospital Center Inc | 6204739352 | 67 |
| Mailing Address | Practice Location Address |
|---|---|
| Mike Destine, 1765 Countrywood Ct, Hyattsville, MD 20785-4012 Ph: () - | Mike Destine, 5401 Old Court Rd, Randallstown, MD 21133-5103 Ph: (914) 618-2312 |
Mr. Mario Klimentov Dimitrov, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5401 Old Court Road, Northwest Hospital Center, Randallstown, MD 21133 Phone: 410-521-2200 | |
Ms. Shannon Lynn Watts, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 | |
Scott W Stromberg, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 | |
Haramrit Rajan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 | |
Ms. Mindi N Valuckas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 | |
Ms. Jessica L. Ridgely, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 | |
Bethany Kate Heaton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 |