MS. JEANINE MACKIEWICZ PA-C, MMS
NPI 1851797567
Physician Assistant - Surgical in Silver Spring, MD

Active since November 06, 2014PECOS EnrolledAccepts Medicare Assignment
1500 FOREST GLEN RD, SILVER SPRING, MD 20910(301) 754-7230(301) 754-7228 Get Directions Write a Review

NPPES record last updated: May 12, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Jeanine Mackiewicz Pa-c, Mms NPPES

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

MS. JEANINE MACKIEWICZ PA-C, MMS (NPI 1851797567) is an individual surgical provider in Silver Spring, Maryland, licensed in Maryland (C0005595) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Adventist Healthcare Shady Grove Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1851797567
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. JEANINE MACKIEWICZCredential: PA-C, MMS
Location Address1500 FOREST GLEN RDSilver Spring, MD 20910-1460
Mailing Address1500 Forest Glen RdSilver Spring, MD 20910-1460 · (301) 754-7230 · Fax (301) 754-7228
Fax(301) 754-7228
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 6, 2014
Last NPPES UpdateMay 12, 2017
NPI 1851797567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MD · C0005595
1500 FOREST GLEN RD, Silver Spring, MD 20910

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

Ms. Jeanine Mackiewicz Pa-c, Mms 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 ID3274857602
PECOS Enrollment IDI20160404001364
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventist Healthcare Shady Grove Medical Center

Acute Care Hospitals · Rockville, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210057
Location9901 Medical Center DriveRockville, MD 20850 · Montgomery County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1500 FOREST GLEN RD, HC333
SILVER SPRING, MD 20910
Pediatrics (Neonatal-Perinatal Medicine)
1500 FOREST GLEN RD
SILVER SPRING, MD 20910
Registered Nurse (Neonatal Intensive Care)
1500 FOREST GLEN RD
SILVER SPRING, MD 20910
Pediatrics (Neonatal-Perinatal Medicine)
1500 FOREST GLEN RD
SILVER SPRING, MD 20910
Pediatrics (Neonatal-Perinatal Medicine)
1500 FOREST GLEN RD
SILVER SPRING, MD 20910
Pediatrics (Neonatal-Perinatal Medicine)
1500 FOREST GLEN RD
SILVER SPRING, MD 20910
Pediatrics (Neonatal-Perinatal Medicine)
1500 FOREST GLEN RD
SILVER SPRING, MD 20910
Pediatrics (Neonatal-Perinatal Medicine)
1500 FOREST GLEN RD
SILVER SPRING, MD 20910

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851797567, enumerated as an "individual" on November 06, 2014.

The provider is located at 1500 FOREST GLEN RD SILVER SPRING, MD 20910 and the phone number is (301) 754-7230.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Jeanine Mackiewicz is affiliated with: ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER.