Mrs Kelsey Brianna Suppa, PA-C in Glen Burnie, MD - Medicare Physician Assistant

Mrs Kelsey Brianna Suppa, PA-C is a medicare enrolled "Physician Assistant" physician in Glen Burnie, Maryland. Her current practice location is 301 Hospital Dr, Glen Burnie, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 787-4000.

Mrs Kelsey Brianna Suppa is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053700815.

Contact Information

	Mrs Kelsey Brianna Suppa, PA-C
	301 Hospital Dr, Glen Burnie, MD 21061
	(410) 787-4000
	Not Available

Physician's Profile

Full Name	Mrs Kelsey Brianna Suppa
Gender	Female
Speciality	Physician Assistant
Location	301 Hospital Dr, Glen Burnie, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053700815
Provider Enumeration Date: 01/16/2015
Last Update Date: 11/06/2023

Medicare PECOS Information:

PECOS PAC ID: 1557674405
Enrollment ID: I20150721001391

Medical Identifiers

Medical identifiers for Mrs Kelsey Brianna Suppa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053700815	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2082S0105X	Plastic Surgery - Surgery Of The Hand	C0005671 (Maryland)	Secondary
363A00000X	Physician Assistant	(* (Not Available))	Primary

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. Mrs Kelsey Brianna Suppa 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
Mrs Kelsey Brianna Suppa, PA-C 1306 Oak Rd, Severna Park, MD 21146-3402 Ph: (410) 491-2212	Mrs Kelsey Brianna Suppa, PA-C 301 Hospital Dr, Glen Burnie, MD 21061 Ph: (410) 787-4000

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Mrs Kelsey Brianna Suppa, PA-C - Medicare Physician Assistant in Glen Burnie, MD