ANDREA WICK BUSH PA-C
NPI 1801989165
Physician Assistant - Surgical in Chevy Chase, MD
- Individual
- Female
- Physician Assistant
- Surgical
- PECOS Enrolled
About ANDREA BUSH
This page provides the complete NPI Profile along with additional information for Andrea Bush, a provider established in Chevy Chase, Maryland with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1801989165 assigned on October 2006. The practitioner's primary taxonomy code is 363AS0400X with license number C0003208 (MD). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1801989165 Verify this NPI
- Provider Name
- ANDREA WICK BUSH PA-C
- Other Name
- ANDREA ARLENE WICK PA-C
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5530 WISCONSIN AVE STE 1660 CHEVY CHASE, MD 20815
- Location Phone
- (301) 657-9876
- Location Fax
- (301) 657-8229
- Mailing Address
- 5530 WISCONSIN AVE STE 1660 CHEVY CHASE, MD 20815
- Mailing Phone
- (301) 657-9876
- Mailing Fax
- (301) 657-8229
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-01-2006
- Last Update Date
- 04-06-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- C0003208
- License State
- MD
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | PA030404 (DC) |
Medicare Participation & PECOS Enrollment Status
Andrea Bush is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for ANDREA WICK BUSH PA-C
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Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
CHEVY CHASE, MD 20815
CHEVY CHASE, MD 20815
CHEVY CHASE, MD 20815
CHEVY CHASE, MD 20815
CHEVY CHASE, MD 20815
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801989165, enumerated as an "individual" on October 01, 2006.
The provider is located at 5530 WISCONSIN AVE STE 1660 CHEVY CHASE, MD 20815 and the phone number is (301) 657-9876.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.