Claudia Paulina Portillo, PAC in Rockville, MD - Medicare Physician Assistant

Claudia Paulina Portillo, PAC is a medicare enrolled "Physician Assistant - Surgical" in Rockville, Maryland. Her current practice location is 9901 Medical Center Dr, Rockville, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 826-7072.

Claudia Paulina Portillo is licensed to practice in Maryland (license number C0002840) 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 1164755716.

Contact Information

	Claudia Paulina Portillo, PAC
	9901 Medical Center Dr, Rockville, MD 20850-3357
	(240) 826-7072
	(240) 826-7040

Provider's Profile

Full Name	Claudia Paulina Portillo
Gender	Female
Speciality	Physician Assistant - Surgical
Location	9901 Medical Center Dr, Rockville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164755716
Provider Enumeration Date: 09/15/2009
Last Update Date: 09/15/2009

Medicare PECOS Information:

PECOS PAC ID: 6002959913
Enrollment ID: I20100201000327

Medical Identifiers

Medical identifiers for Claudia Paulina Portillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164755716	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	C0002840 (Maryland)	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. Claudia Paulina Portillo 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
Claudia Paulina Portillo, PAC Adventist Physician Services Inc, P.o Box 64742, Baltimore, MD 21264-0001 Ph: (301) 315-3171	Claudia Paulina Portillo, PAC 9901 Medical Center Dr, Rockville, MD 20850-3357 Ph: (240) 826-7072

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Claudia Paulina Portillo, PAC - Medicare Physician Assistant in Rockville, MD