Stephanie Addison, MD - Medicare Pediatrics in Gaithersburg, MD

Stephanie Addison, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Gaithersburg, Maryland. Her current practice location is 655 Watkins Mill Rd, Gaithersburg, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 632-4300.

Stephanie Addison is licensed to practice in District Of Columbia (license number MD038714) 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 1881816866.

Contact Information

Stephanie Addison, MD
655 Watkins Mill Rd,
Gaithersburg, MD 20879-3301
(240) 632-4300
Not Available



Physician's Profile

Full NameStephanie Addison
GenderFemale
SpecialityPediatrics - Adolescent Medicine
Location655 Watkins Mill Rd, Gaithersburg, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881816866
  • Provider Enumeration Date: 05/02/2007
  • Last Update Date: 06/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0143463653
  • Enrollment ID: I20190729002225

Medical Identifiers

Medical identifiers for Stephanie Addison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881816866NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine MD038714 (District Of Columbia)Primary
208000000XPediatrics MT190203 (Pennsylvania)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stephanie Addison allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308

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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. Stephanie Addison 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 AddressPractice Location Address
Stephanie Addison, MD
655 Watkins Mill Rd,
Gaithersburg, MD 20879-3301

Ph: (240) 632-4300
Stephanie Addison, MD
655 Watkins Mill Rd,
Gaithersburg, MD 20879-3301

Ph: (240) 632-4300

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Pediatrics Doctors in Gaithersburg, MD

Dr. Esther Shinyoung Song, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 655 Watkins Mill Rd, Gaithersburg, MD 20879
Phone: 240-632-4000    
Dr. Nelson T Niu, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 843 Quince Orchard Blvd, Suite A, Gaithersburg, MD 20878
Phone: 301-990-2544    Fax: 301-990-2545
Dr. Evonne D Bing, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 200 Girard St, Suite 212-a, Gaithersburg, MD 20877
Phone: 301-216-0880    Fax: 301-216-2891
Dr. Emmalyn Cruz De Claro, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 200 Girard St, Suite 212-a, Gaithersburg, MD 20877
Phone: 301-216-0880    Fax: 301-216-2891
Dr. Ariel Dubelman, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 555 Quince Orchard Road, Suite 350, Gaithersburg, MD 20878
Phone: 301-926-3633    Fax: 301-948-9884
Rachel L Rennert, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 903 Russell Ave, Ste 301, Gaithersburg, MD 20879
Phone: 301-869-2292    Fax: 301-869-4223
Dr. Tonse N Raju, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 281 Shadow Glen Ct, Gaithersburg, MD 20878
Phone: 240-631-8030    

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