Mr Roger L Deshong, PA in Randallstown, MD - Medicare Physician Assistant

Mr Roger L Deshong, PA is a medicare enrolled "Physician Assistant - Surgical" in Randallstown, Maryland. He graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Lifebridge Community Physicians Inc and his current practice location is 5401 Old Court Rd, Randallstown, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 521-2200.

Mr Roger L Deshong is licensed to practice in Maryland (license number C0002602) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164483335.

Contact Information

	Mr Roger L Deshong, PA
	5401 Old Court Rd, Randallstown, MD 21133-5103
	(410) 521-2200
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Roger L Deshong
Gender	Male
Speciality	Physician Assistant
Experience	22 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.

Medical Education and Training:

Mr Roger L Deshong graduated from nursing school in 2002

NPI Data:

NPI Number: 1164483335
Provider Enumeration Date: 03/29/2006
Last Update Date: 10/19/2007

Medicare PECOS Information:

PECOS PAC ID: 4981629581
Enrollment ID: I20051012001184

Medical Identifiers

Medical identifiers for Mr Roger L Deshong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164483335	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	C0002602 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northwest Hospital Center	Randallstown, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifebridge Community Physicians Inc	3678751468	185

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Roger L Deshong is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Roger L Deshong, PA 5401 Old Court Rd, Attn: Credentialing, Randallstown, MD 21133-5103 Ph: (410) 601-5524	Mr Roger L Deshong, PA 5401 Old Court Rd, Randallstown, MD 21133-5103 Ph: (410) 521-2200

Reviews and Comments

Physician Assistant Nurses in Randallstown, MD

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

Mr Roger L Deshong, PA - Medicare Physician Assistant in Randallstown, MD