Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kacey Lynn Fogg, PA-C

Individual provider Medical Physician Assistant · NPI 1700212842

Kacey Lynn Fogg, PA-C is a Physician Assistant in Baltimore, Maryland. Qualified in 2013, 13 years ago. Practices with Maryland Family Care Inc, a 158-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
13
Licensed in
MD
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

345 Saint Paul Pl
Baltimore, MD 21202-2123
Phone: (410) 332-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C05221 (MD)

Record details

NPI number1700212842
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2013
Last updated in NPPESAugust 31, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Maryland Family Care Inc — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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