Junnan Chen, PHYSICIAN ASSISTANT
Individual provider Active NPI Dermatology Physician · Highland, MD
NPI 1780150425 · NPPES record last updated Sep 20, 2023
Key facts
- NPI
- 1780150425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- C06976 (MD)
- Practice address
- 13330 Clarksville Pike Ste B
Highland, MD 20777-9785 - Phone
- (443) 535-6616
- NPI assigned
- Oct 21, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3905 National Dr
Suite 220
Burtonsville, MD 20866-6106
Phone (443) 535-6616
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211123001680 | MD | Practitioner - Physician Assistant | 8123417615 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C06976 | MD | MD | Dermatology Physician |
| C0006976 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0006976 | MD | |
| Dermatology Physician | 207N00000X | C06976 | MD | Yes |
Addresses
Primary practice location
13330 Clarksville Pike Ste B
Highland, MD 20777-9785
Mailing address
13330 Clarksville Pike Ste B
Highland, MD 20777-9785
Phone (443) 535-6616
Other practice location 1
10632 Little Patuxent Pkwy Ste 401
Columbia, MD 21044-6281
Phone (443) 535-6616
Other providers in Highland, MD
- Barbara Ring Abrams
- Nicole M Archibald
- Michael Caruso
- Castlebridge Medical Associates, LLC
- Center for Counseling and Psychotherapy
- Hannah Yu Chun
- Sharon Coale
- Sanna Ali Darwish
- Designer Audiology, LLC
- Haroldo Edgardo Drachenberg
All providers in Highland, MD · Dermatology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.