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.
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List of insurance plans we accept
- IH-HMO
- Kaiser Permanente Flexible Choice 3-tier POS
- NYC Medicare Advantage Plus
- Anthem BCBS Medi Blue SNP
- Beech Street PPO
- Aetna Elect Choice/ Open Access (POS)
- CIGNA HMO & Network (HMO)
- Coventry of Delaware HMO/PPO
- Medicare Direct
- MedStar Family Choice - Maryland Health Choice
- Erickson Advantage Plans
- UnitedHealthcare Individual Exchange Plans
- Cigna Achieve Medicare (HMO C-SNP)
- Aetna HMO
- CareFirst BlueChoice HMO
- Aetna Quality Point of Service (POS)
- Cigna True Choice Plus Medicare (PPO)
- Medicare Advantage - Advantra Value (PPO)
- Kaiser Maryland Medicaid MCO
- United Medicare Private Fee-for-Service (PFFS) plans
- Veterans Affairs Community Care Network
- IH-PPO
- HUMANA/Choice Care Medicare Plans (Choice, Gold Choice)
- Network OA
- POS OA
- Amerigroup DC Healthy Families
- Kaiser Permanente HMO Plus and DHMO Plus Member
- UnitedHealthcare and AARP Medicare Complete Plans
- CIGNA PPO
- Kaiser Permanente Signature - Added Choice
- Magellan Complete Care of VA - VA Medicaid MCO
- United Student Resources
- Aetna Open Choice (PPO)
- CareFirst EPO
- Healthy Blue (HMO, POS)
- Choice Care Network/HUMANA (PPO)
- CareFirst Administrators
- Choice POS II Open Access
- Uniformed Services Family Health Plan
- MedStar Family Choice DC Healthcare Alliance
- Jai Medical Systems - Maryland Health Choice
- CIGNA Connect EPO
- TRICARE East Prime
- Private Health Care Systems (PPO)
- MedStar Family Choice DC Healthy Families
- TRICARE East Select
- Sentara Health
- AmeriHealth Caritas DC Healthcare Alliance
- Anthem BCBS Medi Blue Dual Adv
- CareFirst Blue Choice Opt Out Open Access
- HealthyBlue PPO
- Aetna Classic 5000
- Blue Choice Advantage
- Choice Fund PPO
- CareFirst FEP Blue Focus
- CareFirst Maryland Point of Service Plan
- Optimum Choice & Optimum Choice Preferred (POS) Cardiac Global
- Anthem BCBS of VA HealthKeepers (HMO)
- CareFirst Blue Card Program
- Geisinger Medicare Advantage
- United HealthCare Community Plan - Maryland Health Choice Program
- Private Fee-for-Service Plans (PFFS)
- DC/MD SHOP QHP Small Business Plans
- Anthem BCBS of VA HealthKeepers (POS & POS OA)
- IH-POS
- Aetna Classic 3500
- CIGNA EPO
- Kaiser Permanente Select - Added Choice
- United Healthcare Choice Plus
- IH-Indemnity
- Optimum Choice
- United Healthcare Choice Cardiac Global
- Humana Medicare Advantage - HMO Open Access
- CareFirst NASCO
- Options PPO Cardiac Global
- Cigna True Choice Medicare (PPO)
- IH-POS Plus
- IH-Open POS Plus
- Johns Hopkins Advantage MD PPO
- CareFirst MedStar Select PPO
- Choice POS II
- CareFirst MedStar PPO
- Anthem Federal Employee Program Basic
- Aetna VA Exchange
- Aetna HMO-Open Access/Select OA/HealthFund/Health Network Option OA
- Mamsi Life & Health (Indem./PPO)
- Maryland Physicians Care MCO
- Optimum Choice Preferred (POS)
- CIGNA POS/Network POS
- CareFirst Blue Choice Opt Out Plus Open Access (POS)
- HighMark
- CIGNA HMO Open Access
- Humana Medicare Advantage - PPO
- First Health PPO
- CareFirst (NCA) Indemnity
- Coventry Health Care of Virginia
- CIGNA SureFit (HMO)
- Tricare Reserve Select
- WellPoint Maryland - Maryland Health Choice
- CareFirst Blue Preferred PPO
- Choice POS
- Aetna Classic 5000PD
- Aetna Elect Choice/ EPO (Aetna Health Fund)
- Aetna Medicare Advantage PFFS Plan
- Aetna Signature Administrator PPO/TPA
- IH-Open POS II
- Fee-for-Service (FFS) District of Columbia, Maryland and Virginia Medicaid
- Kaiser Permanente Select Cardiac Global
- Kaiser Permaenete Signature - Added Choice Cardiac Global
- Mamsi Life & Health (Indem./PPO) Cardiac Global
- First Health PPO
- IH-EPO Plus
- MultiPlan, Inc
- BCBS Out-of-State Medicare Plans (Blue Advantage)
- Aetna Traditional Choice (PPO)
- Aetna Better Health of MD
- CareFirst Community Health Plan of MD
- IH-Open HMO
- IH-Open HMO Option
- Amerigroup DC Alliance
- Optima Family Care MCO - VA Medicaid MCO
- Alterwood Advanatge HMO & DSNP Plans
- Cigna Preferred Medicare (HMO)
- Core Essential (HMO)
- UnitedHealthcare Medicare Adv. Special Needs Plans
- Aetna Managed Choice Open Access (POS)
- Police and Fire Clinic
- Aetna Basic
- Priority Partners - Maryland Health Choice
- CareFirst Dual Prime HMO-SNP
- United Healthcare Navigate Cardiac Global
- Aetna Advantage 5750
- BCBS of Michigan (BCN Advantage,Security Blue, Freedom, Medicare PLUS Blue Group PPO)
- IH-Open Network Only Plus
- Aetna Advantage 6350
- CareFirst Group Medicare Advantage prescription drug benefit (PPO)
- IH-Network Only Plus
- Aetna Premier 200PD
- Humana Gold Plus HMO
- OCI Direct (HMO)
- Aetna Medicare Advantage HMO & PPO Plans
- United Healthcare Choice Plus Cardiac Global
- UHC Passport
- MD IPA (HMO) & MD IPA Preferred Cardiac Global
- Select HMO/HealthFund/Health Network
- Great-West Healthcare POS/CIGNA
- Johns Hopkins Advantage MD HMO
- Aetna Advantage 6350PD
- Anthem Federal Employee Program Standard
- TRICARE for Life East
- M.D. IPA Preferred (POS)
- United Healthcare Select HMO - EPO/NPP
- AMERIVANTAGE/Amerigroup Community Care
- HumanaChoice Honor's plan PPO
- Employee Health Plan
- IH-Open EPO Plus
- M.D. IPA (HMO)
- Medicare FFS
- Cigna TotalCare (HMO D-SNP)
- United Healthcare Select Plus (POS)
- Health Services for Children with Special Needs
- CareFirst BlueCross BlueShield Advantage Core/Enhanced
- Aetna Student Health Insurance
- Aetna Better Health of VA
- Anthem BCBS Medi Blue Plus
- Kaiser Permanente Medicare Advantage Signature and Select
- CareFirst Group Medicare Advantage
- Kaiser Permanente Flexible Choice POS Cardiac Global
- OA Plus
- United Healthcare Options (PPO)
- Cigna Alliance Medicare (HMO)
- Lasso Healthcare - Medicare Medical Savings Account
- Aetna Worker's Compensation Network
- Anthem BCBS of VA Key Care POS/PPO/Indemnity
- BlueChoice Open Access
- CIGNA Indemnity
- Coventry Health Care National Network PPO
- UHC Group Medicare Advantage Plans (HMO, POS, PPO)
- CIGNA PPO Plus
- Kaiser Permanente Signature
- UnitedHealthcare Medicare Advantage DSNP District of Columbia
- Anthem BCBS of VA HealthKeepers Plus
- Kaiser Permanente Select
- Advantra Platinum (PPO)
- AmeriHealth Caritas DC Healthy Families
- United Healthcare Community Plan - VA Medicaid MCO
- CareFirst Maryland Indemnity or PPO
- United Healthcare Choice
- HumanaChoice PPO
- Navigate
- CareFirst Federal Employee Program (Std. & Basic PPO)
- Johns Hopkins Advantage MD PLUS PPO
- TriWest Healthcare Alliance
- United Healthcare Select HMO-EPO/NPP Cardiac Global
- Aetna Managed Choice (POS)
- Kaiser Permanente Medicare Plus
Education
Board Certification: National Committee on Certification of Physician Assistants, Certification of Physician Assistants
Graduate: Texas Tech University (2025)
