Ginger Renee Wille, CRNP | |
9950 Main St, Berlin, MD 21811-3281 | |
(443) 668-2563 | |
Not Available |
Full Name | Ginger Renee Wille |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 9950 Main St, Berlin, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396508990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | LG-0012606 (Delaware) | Secondary |
363L00000X | Nurse Practitioner | AC006237 (Maryland) | Primary |
Entity Name | Tidalhealth Primary Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104453208 PECOS PAC ID: 7911320635 Enrollment ID: O20200714000016 |
Mailing Address | Practice Location Address |
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Ginger Renee Wille, CRNP 31775 Duane Dr, Frankford, DE 19945-2828 Ph: (144) 366-8256 | Ginger Renee Wille, CRNP 9950 Main St, Berlin, MD 21811-3281 Ph: (443) 668-2563 |
Pennie Dalton Savage, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9715 Healthway Dr, Berlin, MD 21811 Phone: 410-548-2343 Fax: 844-332-3891 | |
John A Hancock, CRNP, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9715 Healthway Dr, Berlin, MD 21811 Phone: 410-548-2343 Fax: 844-332-3891 | |
Lisa H Bayles, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10231 Old Ocean City Blvd, Suite 210, Berlin, MD 21811 Phone: 410-629-6870 Fax: 410-641-3140 | |
Tracey Wooden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9733 Healthway Dr, Berlin, MD 21811 Phone: 410-629-6886 | |
Mrs. Leslie Ann Lake, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9858 Shore Break Ln Apt 311, Berlin, MD 21811 Phone: 912-689-9322 | |
Dr. Jordan Pearson Braniff, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11101 Cathage Rd, Berlin, MD 21811 Phone: 410-912-6104 | |
Ms. Julianne Judge Mcbride, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 314 Franklin Ave Ste 103, Berlin, MD 21811 Phone: 443-513-4231 |