GLENDA PRUDENCIO PA-C
NPI 1902273584
Physician Assistant - Medical in Glenn Dale, MD
About Glenda Prudencio Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLENDA PRUDENCIO PA-C (NPI 1902273584) is an individual medical provider in Glenn Dale, Maryland, licensed in Maryland (C05930) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bowie.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Glenda Prudencio Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902273584, enumerated as an "individual" on August 30, 2015.
The provider is located at 12150 ANNAPOLIS RD STE 308 GLENN DALE, MD 20769 and the phone number is (301) 805-0006.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
