<unavail> in Lutherville Timonium, MD - Medicare Nurse Practitioner

is a medicare enrolled mental health clinic (Nurse Practitioner - Psychiatric/mental Health) in Lutherville Timonium, Maryland. The current practice location for is 1301 York Rd Ste 800, Lutherville Timonium, Maryland. For appointments, you can reach them via phone at (410) 376-8728. The mailing address for is 1301 York Rd Ste 800, Lutherville Timonium, Maryland and phone number is (410) 376-8728.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1972216869. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (410) 376-8728.

Contact Information


	1301 York Rd Ste 800 Lutherville Timonium MD 21093-6011
	(410) 376-8728
	(410) 862-3774

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Nurse Practitioner
Location	1301 York Rd Ste 800, Lutherville Timonium, Maryland
Authorized Official Name and Position	Tamara Pottillo (OWNER)
Authorized Official Contact	4437458620
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1301 York Rd Ste 800 Lutherville Timonium MD 21093-6011 Ph: (410) 376-8728	1301 York Rd Ste 800 Lutherville Timonium MD 21093-6011 Ph: (410) 376-8728

NPI Details:

NPI Number	1972216869
Provider Enumeration Date	01/05/2023
Last Update Date	07/19/2024
Certification Date	07/19/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	6709323181
Medicare Enrollment ID	O20240802001452

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972216869	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
251S00000X	Community/behavioral Health	(* (Not Available))	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Tamara Boyd Pottillo
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1922717495 PECOS PAC ID: 3779923941 Enrollment ID: I20240802002161

Reviews and Comments

Nurse Practitioner in Lutherville Timonium, MD

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Uma Behavioral Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1301 York Rd Ste 800, Lutherville Timonium, MD 21093 Phone: 240-462-1845
Connect And Heal Psychology, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Front Ave Ste 305, Lutherville Timonium, MD 21093 Phone: 443-647-8449
Bright Skies Therapy Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 901 Fallscroft Way, Lutherville Timonium, MD 21093 Phone: 410-802-9109
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 W Padonia Rd Ste A203, Lutherville Timonium, MD 21093 Phone: 443-475-0338

- Medicare Mental Health Clinic in Lutherville Timonium, MD