| Marie S Nazzaro, LCPC | |
|
21770 Fdr Blvd, Lexington Park, MD 20653-1558 | |
| (301) 997-1300 | |
| (301) 866-9189 |
| Full Name | Marie S Nazzaro |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 21770 Fdr Blvd, Lexington Park, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215159512 | NPI | - | NPPES |
| 58956180 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LCPC2711 (Maryland) | Primary |
| Entity Name | Andrew T Gergely, Md & Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033134341 PECOS PAC ID: 1456323237 Enrollment ID: O20040811001043 |
| Mailing Address | Practice Location Address |
|---|---|
| Marie S Nazzaro, LCPC 21770 Fdr Blvd, Lexington Park, MD 20653-1558 Ph: (301) 997-1300 | Marie S Nazzaro, LCPC 21770 Fdr Blvd, Lexington Park, MD 20653-1558 Ph: (301) 997-1300 |
Miss Brittanny Ryan, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22776 Three Notch Rd Ste 102, Lexington Park, MD 20653 Phone: 301-866-6333 Fax: 240-718-1906 | |
Bambii Kreal, CAC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 21770 Franklin Delano Roosevelt Blvd, Lexington Park, MD 20653 Phone: 301-997-1300 | |
William E Arick, LCPC, NCC, ACS Counselor Medicare: Not Enrolled in Medicare Practice Location: 46940 South Shangri-la Drive, Lexington Park, MD 20653 Phone: 301-862-4961 Fax: 301-862-5554 | |
Amanda Kohut, ADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 21770 Franklin Delano Roosevelt Blvd, Lexington Park, MD 20653 Phone: 301-997-1300 | |
Taylor Winston, Counselor Medicare: Medicare Enrolled Practice Location: 22776 Three Notch Rd, Suite 210, Lexington Park, MD 20653 Phone: 301-866-6333 | |
Amanda Mullins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21155 Lexwood Dr, Suite C, Lexington Park, MD 20653 Phone: 301-373-3065 |