Cayla Kubilus, | |
579 Baltimore Annapolis Blvd, Severna Park, MD 21146-3809 | |
(410) 975-5447 | |
Not Available |
Full Name | Cayla Kubilus |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 579 Baltimore Annapolis Blvd, Severna Park, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629535026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R211496 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Care Center Llc | 3274801139 | 215 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
Entity Name | Privia Care Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164874426 PECOS PAC ID: 3274801139 Enrollment ID: O20170619000055 |
Mailing Address | Practice Location Address |
---|---|
Cayla Kubilus, 8311 Telegraph Rd Apt 337, Odenton, MD 21113-1383 Ph: (410) 952-7047 | Cayla Kubilus, 579 Baltimore Annapolis Blvd, Severna Park, MD 21146-3809 Ph: (410) 975-5447 |
Erica Herdecker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 560 Jumpers Hole Rd, Severna Park, MD 21146 Phone: 301-788-8506 | |
Jean Jacklin, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Ritchie Hwy, Suite 203, Severna Park, MD 21146 Phone: 410-897-2936 Fax: 410-793-5240 | |
Danielle Mitsch, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 877 Baltimore Annapolis Blvd Ste 202, Severna Park, MD 21146 Phone: 410-684-3806 | |
Danielle Tanner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 579 Baltimore Annapolis Blvd, Severna Park, MD 21146 Phone: 410-975-5447 | |
Meredith Baker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 770 Ritchie Hwy Ste W19, Severna Park, MD 21146 Phone: 410-375-0444 | |
Sarah Kuhl, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 692 Ritchie Hwy, Severna Park, MD 21146 Phone: 410-721-2273 | |
Daphne Etienne, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 Jones Station Rd W, Severna Park, MD 21146 Phone: 410-647-0451 |