Mike Destine
Mike Destine is a Physician Assistant in Randallstown, Maryland. Qualified in 2013, 13 years ago. Practices with Emergency Medicine Associates PA, PC, a 704-clinician group and accepts Medicare assignment.
- Years since qualifying
- 13
- In the registry since
- 2014
Practice location Address checks out
5401 Old Court RdRandallstown, MD 21133-5103
Phone: (914) 618-2312
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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 |
|---|
Record details
| NPI number | 1679995674 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 9, 2014 |
| Last updated in NPPES | January 9, 2014 |
| Mailing address | 1765 Countrywood Ct, Hyattsville, MD 20785-4012 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Emergency Medicine Associates P.A., P.C. — 704 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Randallstown
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John Bednar, PA-C
5401 Old Court Rd Northwest Hospital Dept OF Emergency Medicine, Randallstown, MD 21133-5103 · (410) 521-2200
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Pierre Guy Daze, MSHS, PA-C
5401 Old Court Rd, Randallstown, MD 21133-5103 · (410) 521-5950
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Mr. Mario Klimentov Dimitrov, PA-C
5401 Old Court Road Northwest Hospital Ctr, Randallstown, MD 21133 · (410) 521-2200
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Bethany Kate Heaton, PA-C
5401 Old Court Rd, Randallstown, MD 21133-5103 · (410) 521-2200
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Zainab Kamara, PA
5401 Old Court Rd, Randallstown, MD 21133-5103 · (410) 521-2200
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Mr. Milanjit Kaur, PA-C
5401 Old Court Rd, Randallstown, MD 21133-5103 · (410) 521-2200