Mark Mozingo
Mark Mozingo is a Physician Assistant in Hollywood, Maryland. Qualified in 2001, 25 years ago. Practices with Medstar Medical Group - Southern Maryland LLC, a 237-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.
- Years since qualifying
- 25
- Licensed in
- MD
- In the registry since
- 2006
Practice location Address checks out
24035 Three Notch RdHollywood, MD 20636-4871
Phone: (301) 373-7900
Fax: (301) 373-6900
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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 C0002563 (MD) |
|---|
Record details
| NPI number | 1427077882 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 18, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 24035 Three Notch Rd, Hollywood, MD 20636-4871 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Group practice | Medstar Medical Group - Southern Maryland Llc — 237 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 4 on file with Medicare |
Other providers in Hollywood
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Dianne Nichols
24035 Three Notch Rd, Hollywood, MD 20636-4871 · (301) 373-7900