Individual provider Active NPI

Ann Marie Lawson, P.A.-C

  • Physician Assistant
  • Chestertown, MD
National Provider Identifier
1184809998
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0003664 Issued in MD
Practice address
250 Haacke Dr
Chestertown, MD 21620-1193
Phone
(410) 778-0003
Fax
(410) 778-4450
NPI assigned
Dec 31, 2007
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0003664 MD Primary

Addresses

Primary practice location

250 Haacke Dr
Chestertown, MD 21620-1193

Mailing address

250 Haacke Dr
Chestertown, MD 21620-1193
Phone (410) 778-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100428000259 MD Practitioner - Physician Assistant 3779610589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tamy B. Buckel, M.D., P.a.Group PAC ID 0840293478, 3 clinicians

Practice addresses (Care Compare)

100 Bramble St
Suite a
Cambridge, MD 21613-2471
Phone (410) 228-8106

250 Haacke Dr
Chestertown, MD 21620-1193
Phone (410) 778-0003

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tamy B. Buckel, M.D., P.a. CurrentSince Jul 8, 2022 Accepting new patients
Anne Arundel Dermatology, PA PastSince Sep 1, 2024 Accepting new patients
Kenneth P. Judd, M.D., PH.D. and Associates LLC Past Accepting new patients
Anne Arundel Dermatology, PA PastSince Aug 11, 2024 Accepting new patients

Locations

250 Haacke Dr
Chestertown, MD 21620
Phone (410) 778-0003

Interoperability endpoints

  • Direct secure messaging: al@shoredermatology.emadirect.md
  • Direct secure messaging: alawson@directaddress.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1184809998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HAACKE DR",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201193",
            "telephone_number": "410-778-0003",
            "fax_number": "410-778-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HAACKE DR",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201193",
            "telephone_number": "410-778-0003",
            "fax_number": "410-778-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

Verify at the official NPI Registry.