Evan N Dickstein (NPI# 1942688379, PAC ID# 2668773474) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1942688379 |
| PAC ID by PECOS | 2668773474 |
| Professional Enrollment ID | I20151221002534 |
| Full Name | Evan N Dickstein |
| Organization Legal Name | HEFUNA MENTAL HEALTH WELLNESS LLC |
| Address |
1003 W 7th St Suite 200 Frederick MD 21701-4106 |
| Phone Number | 3012456300 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3577783240 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1003 W 7th St, Suite 200, Frederick, MD 21701-4106 | 3012456300 | HEFUNA MENTAL HEALTH WELLNESS LLC |
| 7474 Greenway Ctr Dr, Suite 700a, Greenbelt, MD 20770-3523 | 3019823437 | HEFUNA MENTAL HEALTH WELLNESS LLC |
| Organization Legal Name | HEFUNA MENTAL HEALTH WELLNESS LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen E Simon | Clinical Social Worker | Hefuna Mental Health Wellness LLC | 7474 Greenway Ctr Dr, Suite 700a, Greenbelt, MD 20770-3523 |
| Maria C Hammill | Psychiatry | Hefuna Mental Health Wellness LLC | 7474 Greenway Ctr Dr, Suite 700a, Greenbelt, MD 20770-3523 |
| Jacqueline Nicole Trombley | Clinical Social Worker | Hefuna Mental Health Wellness LLC | 7474 Greenway Ctr Dr, Suite 700a, Greenbelt, MD 20770-3523 |
| Christopher Brian Carpenter | Clinical Social Worker | Hefuna Mental Health Wellness LLC | 7474 Greenway Ctr Dr, Suite 700a, Greenbelt, MD 20770-3523 |
| Amy D Hedderman | Clinical Social Worker | Hefuna Mental Health Wellness LLC | 7474 Greenway Ctr Dr, Suite 700a, Greenbelt, MD 20770-3523 |
| Dominique Clark | Physician Assistant | Hefuna Mental Health Wellness LLC | 7474 Greenway Ctr Dr, Suite 700a, Greenbelt, MD 20770-3523 |
| Olatunji Folawewo | Nurse Practitioner | Hefuna Mental Health Wellness LLC | 1003 W 7th St, Suite 200, Frederick, MD 21701-4106 |
| Kerin L Hamilton | Physician Assistant | Hefuna Mental Health Wellness LLC | 7474 Greenway Ctr Dr, Suite 700a, Greenbelt, MD 20770-3523 |
| Ahmed Essam Hefuna | Psychiatry | Hefuna Mental Health Wellness LLC | 7474 Greenway Ctr Dr, Suite 700a, Greenbelt, MD 20770-3523 |
| Lynda Artusio | Nurse Practitioner | Hefuna Mental Health Wellness LLC | 7474 Greenway Ctr Dr, Suite 700a, Greenbelt, MD 20770-3523 |
| Street Address |
1003 W 7TH ST SUITE 200 |
| City | FREDERICK |
| State | MD |
| Zip | 21701-4106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor Gregory | Diagnostic Radiology | Frederick's Radiology and Diagnostic Center, LLC | 1003 W 7th St, Suite 1001, Frederick, MD 21701-4128 |
| Nancy Walsh | Certified Registered Nurse Anesthetist (crna) | Md Anesthesia LLC | 1003 W 7th St, Suite 400, Frederick, MD 21701-5944 |
| Jeremy Cayer | Chiropractic | 1003 W 7th St, Suite 3 B, Frederick, MD 21701-4106 | |
| Ashleigh R Athen | Clinical Social Worker | Advanced Behavioral Health Inc | 1003 W 7th St, Suite 500, Frederick, MD 21701-8512 |
| Tammy L Welch | Physician Assistant | Horizon Surgical Group Pa | 1003 W 7th St, Suite A, Frederick, MD 21701-4153 |
| Kyle B O'connor | Nurse Practitioner | Advanced Behavioral Health Inc | 1003 W 7th St, Suite 500, Frederick, MD 21701-8512 |
| Nicole L Ripken | Clinical Social Worker | Advanced Behavioral Health Inc | 1003 W 7th St, Suite 500, Frederick, MD 21701-8512 |
| Ana P Dasilva | Clinical Social Worker | Advanced Behavioral Health Inc | 1003 W 7th St, Suite 500, Frederick, MD 21701-8512 |
| Philip J Mcgann | Ophthalmology | 1003 W 7th St, Suite 400, Frederick, MD 21701-8532 | |
| Sangeeta Verma | Psychiatry | Advanced Behavioral Health Inc | 1003 W 7th St, Suite 500, Frederick, MD 21701-8512 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Mulhern | Clinical Social Worker | 10124 Old Frederick Rd, Frederick, MD 21701-1948 | |
| Adel Ibrahim | Optometry | Frederick Optometry LLC | 7810 Wormans Mill Rd, Suite C, Frederick, MD 21701-3038 |
| Rhonda Martin | Optometry | Frederick Optometry LLC | 7810 Wormans Mill Rd, Suite C, Frederick, MD 21701-3038 |
| Molly Carren | Optometry | Frederick Optometry LLC | 7810 Wormans Mill Rd, Suite C, Frederick, MD 21701-3038 |
| Kelly A Yates | Physical Therapy | Rehab 2 Perform LLC | 1341 Hughes Ford Rd, Suite 104, Frederick, MD 21701-3134 |
| Jamie M Wood | Physical Therapy | Rehab 2 Perform LLC | 1341 Hughes Ford Rd, Suite 104, Frederick, MD 21701-3134 |
| Zachary D Baker | Physical Therapy | Rehab 2 Perform LLC | 1341 Hughes Ford Rd, Suite 104, Frederick, MD 21701-3134 |
| Gregory S Ellis | Physical Therapy | Rehab 2 Perform LLC | 1341 Hughes Ford Rd, Suite 104, Frederick, MD 21701-3134 |
| Caleb M Fatzinger | Physical Therapy | Rehab 2 Perform LLC | 1341 Hughes Ford Rd, Suite 104, Frederick, MD 21701-3134 |
| Ashley N Young | Physical Therapy | Rehab 2 Perform LLC | 1341 Hughes Ford Rd, Suite 104, Frederick, MD 21701-3134 |
| Find all physicians in zip 21701 | |||
| City | FREDERICK |
| Zip Code | 21701 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FREDERICK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Evan N Dickstein.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.