Felicia Depina (NPI# 1184077034, PAC ID# 4789963794) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1184077034 |
| PAC ID by PECOS | 4789963794 |
| Professional Enrollment ID | I20161115002533 |
| Full Name | Felicia Depina |
| Organization Legal Name | NEWBRIDGE SPINE AND PAIN CENTER LLC |
| Address |
3581 Old Washington Rd Waldorf MD 20602-3270 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7113073024 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210035 | UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11350 Pembrooke Sq, Waldorf, MD 20603-4809 | 5713668845 | PRIVIA MEDICAL GROUP,LLC |
| 11350 Pembrooke Sq, Suite 304, Waldorf, MD 20603-4809 | 5713668845 | PRIVIA MEDICAL GROUP,LLC |
| 3581 Old Washington Rd, Waldorf, MD 20602-3270 | NEWBRIDGE SPINE AND PAIN CENTER LLC |
| Organization Legal Name | NEWBRIDGE SPINE AND PAIN CENTER LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Madison Elisabeth Nolen | Physician Assistant | Newbridge Spine and Pain Center LLC | 196 Thomas Johnson Dr, Suite 215, Frederick, MD 21702-4527 |
| Street Address |
3581 OLD WASHINGTON RD |
| City | WALDORF |
| State | MD |
| Zip | 20602-3270 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lukasz R Kiljanek | Internal Medicine | Medstar Medical Group-southern Maryland LLC | 3581 Old Washington Rd, Suite D, Waldorf, MD 20602-3270 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin R Pimentel | General Practice | The Physicians Group Chartered | 601 Post Office Rd, Suite 1a, Waldorf, MD 20602-1912 |
| Patricia Vance | Psychologist, Clinical | Coquus | 601 Post Office Rd, 2d, Waldorf, MD 20602-1912 |
| Paul E Donato | Clinical Social Worker | Coquus | 601 Post Office Rd, 2d, Waldorf, MD 20602-1912 |
| Michael A Pimentel | General Practice | The Physicians Group Chartered | 601 Post Office Rd, Suite 1a, Waldorf, MD 20602-1912 |
| Charles L Ruby | Psychologist, Clinical | Pinnacle Center for Mental Health and Human Relations LLC | 603 Post Office Rd, Suite 210, Waldorf, MD 20602-1914 |
| Lee F Owens | Psychologist, Clinical | Pinnacle Center for Mental Health and Human Relations LLC | 603 Post Office Rd, Suite 210, Waldorf, MD 20602-1914 |
| Mary Beth Voorhees | Clinical Social Worker | Walden Sierra Corporation | 85 High St, Waldorf, MD 20602-2150 |
| Joseph Distefano | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Larry S Hotchkiss | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Justin G Pointer | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Find all physicians in zip 20602 | |||
| City | WALDORF |
| Zip Code | 20602 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WALDORF + NURSE PRACTITIONER |
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| 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.