Mollie Hartz, | |
8401 Connecticut Ave, Chevy Chase, MD 20815-5803 | |
(301) 453-2530 | |
Not Available |
Full Name | Mollie Hartz |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 8401 Connecticut Ave, Chevy Chase, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578251948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | R259129 (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: O20050422000298 |
Mailing Address | Practice Location Address |
---|---|
Mollie Hartz, 11901 Ashley Dr, Rockville, MD 20852-2333 Ph: (434) 962-7423 | Mollie Hartz, 8401 Connecticut Ave, Chevy Chase, MD 20815-5803 Ph: (301) 453-2530 |
Jennifer Jones Lang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5550 Friendship Blvd Ste T90, Chevy Chase, MD 20815 Phone: 240-737-0085 | |
Julia Joyce, APRN, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6900 Wisconsin Ave Ste 303, Chevy Chase, MD 20815 Phone: 301-786-3643 | |
Kyleen Erin Davis, R.N., F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5530 Wisconsin Ave Ste 820, Chevy Chase, MD 20815 Phone: 301-652-8081 Fax: 301-652-8627 | |
Suzannah Ryan Stivison, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8401 Connecticut Ave, Suite 201, Chevy Chase, MD 20815 Phone: 301-907-3690 | |
Ms. June Latisha-ann Ottley, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5550 Friendship Blvd Ste 590, Chevy Chase, MD 20815 Phone: 410-757-2077 Fax: 240-235-8720 | |
Aida Teleksaw, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4550 N Park Ave, Chevy Chase, MD 20815 Phone: 202-607-3953 | |
Dr. Stuart Maynard, PH.D. CRNP, CNS-PMH Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 N Park Ave, Suite 801 North, Chevy Chase, MD 20815 Phone: 301-656-6605 |