CARISSA JEAN ILDEFONSO VEA MD
NPI 1952516619
Family Medicine in Lavale, MD

Active since May 14, 2007PECOS Enrolled
1313 NATIONAL HIGHWAY, LAVALE, MD 21502(240) 362-0288 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carissa Jean Ildefonso Vea Md NPPES

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

CARISSA JEAN ILDEFONSO VEA MD (NPI 1952516619) is an individual family medicine provider in Lavale, Maryland, licensed in Maryland (D0069419) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lavale.

NPPES Registry Identity

NPI1952516619
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCARISSA JEAN ILDEFONSO VEACredential: MD
Location Address1313 NATIONAL HIGHWAYLavale, MD 21502
Mailing Address9910 Franklin Square Dr # 2110Baltimore, MD 21236-4902 · (410) 933-5412
Sole ProprietorNo
Enumeration DateMay 14, 2007
Last NPPES UpdateJune 4, 2018
NPI 1952516619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MD · D0069419 Licensed in PA · MT188480
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1313 NATIONAL HIGHWAY, Lavale, MD 21502

Secondary Practice Location 1

Location 11313 National HighwayLavale, MD 21502 · Phone (240) 362-0288

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carissa Jean Ildefonso Vea Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952516619, enumerated as an "individual" on May 14, 2007.

The provider is located at 1313 NATIONAL HIGHWAY LAVALE, MD 21502 and the phone number is (240) 362-0288.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas, Inc.. Please consult your insurance carrier or call the provider to verify.