About me
Alexandra B. Lachner, PA-C, is a board-certified breast surgery physician assistant at MedStar Franklin Square Medical Center. Working under the supervision of Dr. Meghan Milburn, Dr. Amy Fernow, and Dr. Maen Farha, PA Lachner sees patients with breast-related concerns, such as breast pain and breast lumps, and performs breast cancer risk assessments.
Her scope of practice includes screening, evaluating, and referring her patients for breast-related conditions. As a breast pain specialist, she conducts clinical breast exams, takes comprehensive family and lifestyle histories, and orders screening or diagnostic imaging as needed. She supports breast cancer patients throughout their cancer journey, offering post-operative care and follow-up treatments.
A strong advocate for patient education and empowerment, PA Lachner teaches patients how to perform self-breast exams and counsels them on when to seek medical evaluation. She manages the cases of patients at a high risk for breast cancer, collaborating with them to determine whether a more proactive or conservative approach is best for their lifestyle and health goals.
Her clinical and research interests lie in screening high-risk breast cancer patients and providing education in risk reduction, including the use of low dosages of hormone therapy medication when appropriate.
PA Lachner earned her Bachelor of Science in geology from Towson University and a Master of Science degree in Physician Assistant Studies from Texas Tech University Health Sciences Center, where she was inducted into the Alpha Eta Honor Society.
She is a member of the American Society of Breast Surgeons and the American Academy of Physician Associates, and she is a US Air Force combat veteran.
Philosophy of Care
“I find great satisfaction in providing a space where patients feel comfortable sharing their concerns and anxieties. I welcome questions and encourage patients to be their own health advocates and take the initiative in their own care. My patients can expect me to advocate for and support them throughout their journey, whether it is discussing their imaging results, assessing cancer risks, or addressing breast pain.”
Clinical areas of focus
- Abnormal Breast Imaging
- Breast Cancer
- Breast Cancer Risk Assessment
- Breast Cancer Risk Reduction
- Breast Pain
Conditions and procedures
Conditions I treat
- Abnormal Breast Imaging
- Abnormal Mammogram
- Abnormal Mammogram Results
- Absent Breast Tissue
- Acquired Absence Of Breast
- Areola Deformity
- Asymmetric Breasts
- Atypical Ductal Hyperplasia (ADH)
- Axillary Web Syndrome
- Benign Breast Disease
- Benign Breast Tumor
- Brca1 And Brca2 Genetic Mutation
- Breast Abscess
- Breast Asymmetry
- Breast Calcifications
- Breast Cancer
- Breast Cancer Complications
- Breast Cancer Recurrence
- Breast Capsular Contracture
- Breast Cysts
- Breast Deformity
- Breast Density
- Breast Disorders
- Breast Disorders And Nipple Discharge
- Breast Hypoplasia
- Breast Infections
- Breast Inflammation
- Breast Lesions
- Breast Lymphedema
- Breast Mass
- Breast Pain
- Breast Reconstruction Complications
- Breast Sarcoma
- Breast Skin Irritation
- Breast Tenderness
- Breastfeeding
- Capsular Contracture
- Circulatory System Complications
- Congenital Breast Deformities
- Congenital Malformations Of Breast
- Deformed Breast
- Dense Breast Tissue
- Ductal Carcinoma In Situ (DCIS)
- Ductal Ectasia
- Enlarged Breast Lymph Nodes
- Estrogen Receptor Status
- Family History Of Breast Cancer
- Fibroadenoma
- Fibroadenoma Of Breast
- Genetic Predisposition To Breast Cancer
- Hematoma
- Her2neu Receptor
- Infections Of Breast
- Infections Of Breast Associated With Pregnancy And Lactation
- Lobular Carcinoma In Situ (LCIS)
- Lymphedema
- Male Breast Enlargement (GYNECOMASTIA)
- Mastitis
- Microcalcifications
- Nerve Damage After Breast Surgery
- Nipple Areola Reconstruction
- Nipple Discharge
- Nipple Inversion
- Papillary Carcinoma Of Breast
- Phyllodes Tumors
- Poland Syndrome
- Radiation Therapy Complications
- Reconstructed Breast Deformity Revision
- Sebaceous Adenoma
- Seroma
- Seroma Of Breast
- Unusual Breast Changes
Procedures I perform
- Breast Cancer Chemoprevention
- Breast Cancer Pain Management
- Breast Cancer Risk Assessment
- Breast Cancer Risk Reduction
- Breast Cancer Screening
- Breast Cancer Surgery
- Breast Cancer Treatment
- Breast Cyst Removal
- Breast Infection Treatment
- Breast Seroma Aspiration
- Clinical Trials For Breast Cancer Treatment
- Diagnostic Breast Imaging
- Diagnostic Mammography
- Digital Breast Tomosynthesis
- Fish Testing For Breast Cancer
Insurance
MedStar Health accepts most major health insurance plans. If you are uncertain as to whether your individual health insurance plan is accepted at MedStar Health, please call your insurance company.
-
List of insurance plans we accept
- Priority Partners - Maryland Health Choice
- CIGNA HMO & Network (HMO)
- Coventry Health Care of Virginia
- Sentara Health
- First Health PPO
- Optimum Choice Preferred (POS)
- Cigna True Choice Plus Medicare (PPO)
- Aetna Classic 5000
- HUMANA/Choice Care Medicare Plans (Choice, Gold Choice)
- Choice POS II
- Aetna Premier 200PD
- Blue Choice Advantage
- CareFirst Blue Preferred PPO
- Choice Care Network/HUMANA (PPO)
- TriWest Healthcare Alliance
- MedStar Family Choice DC Healthcare Alliance
- CareFirst MedStar PPO
- Cigna Preferred Medicare (HMO)
- TRICARE East Select
- Anthem BCBS of VA Key Care POS/PPO/Indemnity
- CareFirst Federal Employee Program (Std. & Basic PPO)
- POS OA
- Aetna Classic 3500
- DC/MD SHOP QHP Small Business Plans
- Kaiser Permanente Signature - Added Choice
- CIGNA HMO Open Access
- Kaiser Permanente Flexible Choice 3-tier POS
- AmeriHealth Caritas DC Healthy Families
- United Medicare Private Fee-for-Service (PFFS) plans
- IH-Open EPO Plus
- Core Essential (HMO)
- Geisinger Medicare Advantage
- Aetna Elect Choice/ Open Access (POS)
- Magellan Complete Care of VA - VA Medicaid MCO
- Police and Fire Clinic
- Aetna Signature Administrator PPO/TPA
- Medicare Direct
- Optimum Choice
- Aetna Medicare Advantage PFFS Plan
- CareFirst BlueChoice HMO
- CareFirst Community Health Plan of MD
- Choice Fund PPO
- Humana Gold Plus HMO
- HighMark
- Aetna Advantage 5750
- Aetna Classic 5000PD
- Aetna Managed Choice (POS)
- Aetna Traditional Choice (PPO)
- Uniformed Services Family Health Plan
- Aetna Quality Point of Service (POS)
- Aetna Advantage 6350
- IH-Open Network Only Plus
- Aetna HMO-Open Access/Select OA/HealthFund/Health Network Option OA
- CIGNA POS/Network POS
- United Healthcare Choice
- Aetna VA Exchange
- Johns Hopkins Advantage MD PPO
- TRICARE East Prime
- Maryland Physicians Care MCO
- Kaiser Permanente HMO Plus and DHMO Plus Member
- Kaiser Maryland Medicaid MCO
- United Student Resources
- Medicare Advantage - Advantra Value (PPO)
- CIGNA SureFit (HMO)
- Kaiser Permanente Select - Added Choice
- Anthem BCBS of VA HealthKeepers Plus
- Select HMO/HealthFund/Health Network
- Aetna Student Health Insurance
- Veterans Affairs Community Care Network
- CareFirst (NCA) Indemnity
- CareFirst Administrators
- United Healthcare Choice Plus Cardiac Global
- Network OA
- CareFirst Blue Choice Opt Out Plus Open Access (POS)
- CIGNA EPO
- Health Services for Children with Special Needs
- UnitedHealthcare and AARP Medicare Complete Plans
- Beech Street PPO
- Johns Hopkins Advantage MD PLUS PPO
- Erickson Advantage Plans
- Private Fee-for-Service Plans (PFFS)
- IH-Open POS Plus
- United Healthcare Select HMO - EPO/NPP
- Choice POS
- Tricare Reserve Select
- Aetna Better Health of MD
- Optimum Choice & Optimum Choice Preferred (POS) Cardiac Global
- Alterwood Advanatge HMO & DSNP Plans
- Kaiser Permaenete Signature - Added Choice Cardiac Global
- Kaiser Permanente Signature
- Cigna Alliance Medicare (HMO)
- Fee-for-Service (FFS) District of Columbia, Maryland and Virginia Medicaid
- CareFirst Group Medicare Advantage prescription drug benefit (PPO)
- Kaiser Permanente Flexible Choice POS Cardiac Global
- CareFirst BlueCross BlueShield Advantage Core/Enhanced
- United Healthcare Options (PPO)
- M.D. IPA (HMO)
- Optima Family Care MCO - VA Medicaid MCO
- IH-Indemnity
- CIGNA PPO Plus
- CareFirst Dual Prime HMO-SNP
- Humana Medicare Advantage - HMO Open Access
- AmeriHealth Caritas DC Healthcare Alliance
- Anthem BCBS Medi Blue Plus
- Kaiser Permanente Select Cardiac Global
- Anthem BCBS of VA HealthKeepers (HMO)
- BlueChoice Open Access
- Cigna TotalCare (HMO D-SNP)
- Aetna HMO
- IH-Open HMO Option
- CIGNA Indemnity
- Aetna Open Choice (PPO)
- HumanaChoice Honor's plan PPO
- IH-HMO
- UnitedHealthcare Medicare Advantage DSNP District of Columbia
- MedStar Family Choice DC Healthy Families
- MultiPlan, Inc
- Choice POS II Open Access
- Aetna Medicare Advantage HMO & PPO Plans
- CareFirst Maryland Point of Service Plan
- Coventry of Delaware HMO/PPO
- IH-Open POS II
- MedStar Family Choice - Maryland Health Choice
- CIGNA Connect EPO
- Options PPO Cardiac Global
- Aetna Advantage 6350PD
- CareFirst Maryland Indemnity or PPO
- United Healthcare Choice Cardiac Global
- Medicare FFS
- UHC Group Medicare Advantage Plans (HMO, POS, PPO)
- Mamsi Life & Health (Indem./PPO) Cardiac Global
- Aetna Better Health of VA
- Advantra Platinum (PPO)
- IH-PPO
- IH-EPO Plus
- CareFirst FEP Blue Focus
- Great-West Healthcare POS/CIGNA
- Employee Health Plan
- WellPoint Maryland - Maryland Health Choice
- Aetna Basic
- First Health PPO
- BCBS Out-of-State Medicare Plans (Blue Advantage)
- Lasso Healthcare - Medicare Medical Savings Account
- Amerigroup DC Healthy Families
- AMERIVANTAGE/Amerigroup Community Care
- Anthem BCBS Medi Blue Dual Adv
- OA Plus
- Kaiser Permanente Select
- CareFirst Blue Choice Opt Out Open Access
- Healthy Blue (HMO, POS)
- CareFirst Blue Card Program
- HumanaChoice PPO
- UnitedHealthcare Individual Exchange Plans
- HealthyBlue PPO
- UHC Passport
- IH-Open HMO
- Cigna True Choice Medicare (PPO)
- United Healthcare Select HMO-EPO/NPP Cardiac Global
- United Healthcare Navigate Cardiac Global
- MD IPA (HMO) & MD IPA Preferred Cardiac Global
- IH-Network Only Plus
- CIGNA PPO
- United Healthcare Select Plus (POS)
- United Healthcare Community Plan - VA Medicaid MCO
- Aetna Managed Choice Open Access (POS)
- Anthem BCBS of VA HealthKeepers (POS & POS OA)
- Navigate
- Anthem Federal Employee Program Basic
- Cigna Achieve Medicare (HMO C-SNP)
- Aetna Worker's Compensation Network
- CareFirst NASCO
- OCI Direct (HMO)
- BCBS of Michigan (BCN Advantage,Security Blue, Freedom, Medicare PLUS Blue Group PPO)
- CareFirst Group Medicare Advantage
- Humana Medicare Advantage - PPO
- UnitedHealthcare Medicare Adv. Special Needs Plans
- Johns Hopkins Advantage MD HMO
- Private Health Care Systems (PPO)
- Kaiser Permanente Medicare Advantage Signature and Select
- M.D. IPA Preferred (POS)
- CareFirst EPO
- Aetna Elect Choice/ EPO (Aetna Health Fund)
- CareFirst MedStar Select PPO
- Kaiser Permanente Medicare Plus
- NYC Medicare Advantage Plus
- IH-POS Plus
- Amerigroup DC Alliance
- Coventry Health Care National Network PPO
- IH-POS
- United Healthcare Choice Plus
- Anthem BCBS Medi Blue SNP
- Anthem Federal Employee Program Standard
- Mamsi Life & Health (Indem./PPO)
- United HealthCare Community Plan - Maryland Health Choice Program
- TRICARE for Life East
- Jai Medical Systems - Maryland Health Choice
Education
Board Certification: National Committee on Certification of Physician Assistants, Certification of Physician Assistants
Graduate: Texas Tech University (2025)
