Bridgette A Gillin (NPI# 1366815698, PAC ID# 2365744299) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1366815698 |
| PAC ID by PECOS | 2365744299 |
| Professional Enrollment ID | I20160108000686 |
| Full Name | Bridgette A Gillin |
| Organization Legal Name | GENESIS ELDERCARE PHYSICIAN SERVICES LLC |
| Address |
7520 Surratts Rd Clinton MD 20735-3353 |
| Phone Number | 3018561660 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9830002534 |
| Number of Group Practice Members | 99 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210035 | UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 16 Fustin Ave, Catonsville Commons, Baltimore, MD 21228 | 4107471800 | GENESIS ELDERCARE PHYSICIAN SERVICES LLC |
| 7520 Surratts Rd, Clinton, MD 20735-3353 | 3018561660 | GENESIS ELDERCARE PHYSICIAN SERVICES LLC |
| 5 Garrett Ave, La Plata, MD 20646-5960 | 4439490814 | MDICS AT CIVISTA LLC |
| Organization Legal Name | GENESIS ELDERCARE PHYSICIAN SERVICES LLC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelly Ralston | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 239 Pleasant St, Concord, NH 03301-7504 |
| Kuroush Aligholizadeh | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 1 Magnolia Dr, La Plata, MD 20646-9357 |
| Nattile Clarke | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 200 Civic Ave, Salisbury, MD 21804-4599 |
| Sadia N Baqai | Geriatric Medicine | Genesis Eldercare Physician Services LLC | 3227 Bel Pre Rd, Silver Spring, MD 20906-2423 |
| Bao Tram C Nguyen | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 4604 Lowe Rd, Louisville, KY 40220-1514 |
| Benorayehush B Weldetsadik | Internal Medicine | Genesis Eldercare Physician Services LLC | 7520 Surratts Rd, Clinton, MD 20735-3353 |
| Melissa Smith | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 257 Patton Ln, Harriman, TN 37748-8618 |
| Ellen Cassidy | Family Medicine | Genesis Eldercare Physician Services LLC | 16 Fustin Ave, Catonsville Commons, Baltimore, MD 21228 |
| Sandra B Shaheed | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 1801 Wentworth Rd, Baltimore, MD 21234-6128 |
| Lorie Michelle Wardlow | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 4604 Lowe Rd, Louisville, KY 40220-1514 |
| Street Address |
7520 SURRATTS RD |
| City | CLINTON |
| State | MD |
| Zip | 20735-3353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benorayehush B Weldetsadik | Internal Medicine | Genesis Eldercare Physician Services LLC | 7520 Surratts Rd, Clinton, MD 20735-3353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chyrisse Wilkins | Chiropractic | 7901 Branch Ave, Clinton, MD 20735-1626 | |
| Mary T Arcari | Clinical Social Worker | 7700 Old Branch Ave, B 105, Clinton, MD 20735-1628 | |
| Rosario Fernandez | Family Medicine | 7700 Old Branch Ave, Clinton, MD 20735-1628 | |
| Marques A Julius | Physical Therapy | 7700 Old Branch Ave, Clinton, MD 20735-1628 | |
| Philip L. Briley | Psychologist, Clinical | 7700 Old Branch Ave, Suite B105, Clinton, MD 20735-1628 | |
| Sheila A West | Clinical Social Worker | 7700 Old Branch Ave, Suite B105, Clinton, MD 20735-1628 | |
| Cheryl Jones | Physical Therapy | 7700 Old Branch Ave, E108, Clinton, MD 20735-1628 | |
| James S Chesley Jr. | Anesthesiology | 7700 Old Branch Ave, Suite B101, Clinton, MD 20735-1628 | |
| Moez L Pirmohamed | Gastroenterology | 7700 Old Branch Ave, A102, Clinton, MD 20735-1628 | |
| Michael J Papantones | Clinical Psychologist | 7700 Old Branch Ave, Suite B105, Clinton, MD 20735-1628 | |
| Find all physicians in zip 20735 | |||
| City | CLINTON |
| Zip Code | 20735 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLINTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Bridgette A Gillin.
| 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.