npidexNPI registry + Medicare data

DIANE TACKIE, PA-C

Medical Physician Assistant · ROCKVILLE, MD

Individual Active NPI 1871894808

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Medical Physician Assistant363AM0700X✓C04246MD
Physician Assistant363A00000XPA031403DC

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

Other Medical Physician Assistant providers in Maryland

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.