Mary Alice Olds, CRNP | |
4775 Ilkley Moor Ln, Ellicott City, MD 21043-6531 | |
(443) 904-2099 | |
Not Available |
Full Name | Mary Alice Olds |
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Gender | Female |
Speciality | Family Medicine |
Location | 4775 Ilkley Moor Ln, Ellicott City, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154007409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R199404 (Maryland) | Primary |
Entity Name | Personic Virtual Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740878420 PECOS PAC ID: 8729496849 Enrollment ID: O20221020001991 |
Mailing Address | Practice Location Address |
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Mary Alice Olds, CRNP 4775 Ilkley Moor Ln, Ellicott City, MD 21043-6531 Ph: (443) 904-2099 | Mary Alice Olds, CRNP 4775 Ilkley Moor Ln, Ellicott City, MD 21043-6531 Ph: (443) 904-2099 |
Rita Krishan Dhawan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8516 Timber Valley Ct, Ellicott City, MD 21043 Phone: 410-461-8781 Fax: 410-461-8781 | |
Indrayani Mukund Karkhanis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4801 Dorsey Hall Dr, Suite 201, Ellicott City, MD 21042 Phone: 410-997-5191 Fax: 410-997-7957 | |
Bonnie W Catalano, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2850 N Ridge Rd, Suite 103, Ellicott City, MD 21043 Phone: 410-465-8119 Fax: 410-203-2016 | |
Kathleen M York-jordan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2850 N Ridge Rd Ste 120, Ellicott City, MD 21043 Phone: 410-465-8119 Fax: 410-203-2016 | |
Andres Salazar, Family Medicine Medicare: Medicare Enrolled Practice Location: 3621 Ligon Rd, Ellicott City, MD 21042 Phone: 410-486-1500 | |
Komal Patel, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 Centennial Ln, Ellicott City, MD 21042 Phone: 443-776-0765 |