Irina A Lidow, CRNP | |
124 Slade Ave Ste 210, Pikesville, MD 21208 | |
(443) 901-2040 | |
(443) 901-2043 |
Full Name | Irina A Lidow |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 124 Slade Ave Ste 210, Pikesville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841267218 | NPI | - | NPPES |
R149500 | Other | MD | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | R149500 (Maryland) | Primary |
Entity Name | University Of Maryland Community Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687 |
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 |
Mailing Address | Practice Location Address |
---|---|
Irina A Lidow, CRNP 8110 Maple Lawn Blvd Ste 235, Fulton, MD 20759-2694 Ph: (301) 340-8339 | Irina A Lidow, CRNP 124 Slade Ave Ste 210, Pikesville, MD 21208 Ph: (443) 901-2040 |
Mr. David Berman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1838 Greene Tree Rd, Suiote 535, Pikesville, MD 21208 Phone: 410-469-4000 Fax: 410-653-1296 | |
Dr. Blanche Cefora Kattie, DNP, FNP-BC, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 Old Court Rd, Pikesville, MD 21208 Phone: 443-898-8282 | |
Michelle Kovacs, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3416 Midfield Rd, Pikesville, MD 21208 Phone: 443-326-9001 | |
Ms. Christiana N Ikome, NP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Reisterstown Rd Ste 302, Pikesville, MD 21208 Phone: 301-792-1433 Fax: 443-241-7250 | |
Mrs. Katie Pink Tolley, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16 Sudbrook Ln, Pikesville, MD 21208 Phone: 443-424-7846 | |
Christine L Manko, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1838 Greene Tree Rd Ste 225a, Pikesville, MD 21208 Phone: 443-471-0470 Fax: 410-584-1884 | |
Mr. Tom Dennis Gates Ii, CRNP-PMH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1515 Reisterstown Rd Ste 201, Pikesville, MD 21208 Phone: 301-955-9812 Fax: 301-955-9813 |