ANTONIETTA E VAILLANCOURT PA
NPI 1811403033
Physician Assistant - Surgical in Gaithersburg, MD

Active since December 26, 2017PECOS EnrolledAccepts Medicare Assignment
9561 WHITE PILLAR TER, GAITHERSBURG, MD 20882(301) 641-8354(301) 641-8354 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antonietta E Vaillancourt Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONIETTA E VAILLANCOURT PA (NPI 1811403033) is an individual surgical provider in Gaithersburg, Maryland, licensed in Maryland (C06707) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1811403033
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameANTONIETTA E VAILLANCOURTCredential: PA
Location Address9561 WHITE PILLAR TERGaithersburg, MD 20882-2816
Mailing Address23600 Rolling Fork WayGaithersburg, MD 20882-2808 · (301) 641-8354
Fax(301) 641-8354
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 26, 2017
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
NPI 1811403033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MD · C06707
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License AMD-789 (HI)
9561 WHITE PILLAR TER, Gaithersburg, MD 20882

Other Names 1

Former Name (1)Antonietta E Iosue

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Antonietta E Vaillancourt Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557600715
PECOS Enrollment IDI20240426000418, I20240426000783
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services37 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus 87637
This test identifies if you have COVID-19, influenza A or B, or respiratory syncytial virus. It uses a multiplex amplified probe technique, which amplifies and detects specific genetic material of the viruses, helping in accurate diagnosis.
24 services24 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services18 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
12 services12 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonietta Vaillancourt's NPI number?

The NPI number for Antonietta Vaillancourt is 1811403033. It was assigned to this individual provider in the NPPES registry on December 26, 2017. The provider is also known as Antonietta E Iosue.

Where is Antonietta Vaillancourt located?

Antonietta Vaillancourt practices at 9561 White Pillar Ter, Gaithersburg, MD 20882. The listed phone number is (301) 641-8354.

What is Antonietta Vaillancourt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Antonietta Vaillancourt enrolled in Medicare?

Yes. Antonietta Vaillancourt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Antonietta Vaillancourt was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.