Mary L Udseth, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0005506 Issued in MD

Practice address

1380 Progress Way
Suite 114
Eldersburg, MD 21784-6464

Phone

(410) 795-2233

Fax

(410) 795-3538

NPI assigned

Sep 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carroll Primary Care, PAGroup PAC ID 2668447533, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Call, Inc Home health agency, Westminster, MD, CCN 217115
• Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
• Homecare Maryland, LLC Home health agency, Owings Mills, MD, CCN 217107

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Carroll Primary Care, PA

  • Family Medicine Physician
  • Eldersburg, MD
  • NPI 1427189174
  Medicare reassignment Care Compare group
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Forest Hill, MD
  • NPI 1528352747
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Columbia, MD
  • NPI 1558680447
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Glen Burnie, MD
  • NPI 1578501789
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Towson, MD
  • NPI 1902843451
  Care Compare affiliation
• Homecall, LLC

  • Home Health Agency
  • Westminster, MD
  • NPI 1053406181
  Care Compare affiliation
• Homecare Maryland, LLC

  • Home Health Agency
  • Owings Mills, MD
  • NPI 1144400805
  Care Compare affiliation

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1922400720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 PROGRESS WAY",
            "address_2": "SUITE 114",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846464",
            "telephone_number": "410-795-2233",
            "fax_number": "410-795-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 PROGRESS WAY",
            "address_2": "SUITE 114",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846464",
            "telephone_number": "410-795-2233",
            "fax_number": "410-795-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDSETH",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0005506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Eldersburg, MD
• Providers in Eldersburg, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.