Ms Mindi N Valuckas, PA-C | |
5401 Old Court Rd, Randallstown, MD 21133-5103 | |
(410) 521-2200 | |
Not Available |
Full Name | Ms Mindi N Valuckas |
---|---|
Gender | Female |
Speciality | Physician Assistant - Surgical |
Location | 5401 Old Court Rd, Randallstown, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053372664 | NPI | - | NPPES |
CN6601 | Other | MD | R/R MEDICARE GROUP # |
P00370888 | Other | MD | R/R MEDICARE PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AS0400X | Physician Assistant - Surgical | C0002486 (Maryland) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Mindi N Valuckas, PA-C 5401 Old Court Rd, Attn: Credentialing, Randallstown, MD 21133-5103 Ph: (410) 601-5524 | Ms Mindi N Valuckas, PA-C 5401 Old Court Rd, Randallstown, MD 21133-5103 Ph: (410) 521-2200 |
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. 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 |