Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison Wylie Hawkes Gagern

Individual provider Physician Assistant · NPI 1043852411

Madison Wylie Hawkes Gagern is a Physician Assistant in Elkridge, Maryland. Qualified in 2020, 6 years ago. Practices with Maryland Spine and Brain Specialists, LLC, a 3-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2019

Practice location Address checks out

8178 Lark Brown Rd Ste 101
Elkridge, MD 21075-6438
Phone: (410) 646-4800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1043852411
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 17, 2019
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Maryland Spine And Brain Specialists, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Elkridge