Mandy K Weitsz, CRNP | |
191 Mahogany Dr, North East, MD 21901-3650 | |
(443) 652-0940 | |
Not Available |
Full Name | Mandy K Weitsz |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 191 Mahogany Dr, North East, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922715093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R232185 (Maryland) | Secondary |
363LF0000X | Nurse Practitioner - Family | R232185 (Maryland) | Primary |
Entity Name | Alegis Care- Maryland Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871195644 PECOS PAC ID: 7719388891 Enrollment ID: O20210628000010 |
Entity Name | Monogram Health Professional Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134739089 PECOS PAC ID: 4880004183 Enrollment ID: O20220807000078 |
Entity Name | Evernorth Care Providers - Delaware Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063284032 PECOS PAC ID: 6002217973 Enrollment ID: O20231206001646 |
Mailing Address | Practice Location Address |
---|---|
Mandy K Weitsz, CRNP 191 Mahogany Dr, North East, MD 21901-3650 Ph: (443) 652-0940 | Mandy K Weitsz, CRNP 191 Mahogany Dr, North East, MD 21901-3650 Ph: (443) 652-0940 |
Amy Theriault, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Cool Springs Rd, North East, MD 21901 Phone: 410-322-2265 | |
Misoon Kim, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 N East Plz, North East, MD 21901 Phone: 410-287-5570 | |
Jeremy Paul Bunty, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29 Springfield Ct, North East, MD 21901 Phone: 302-420-0832 | |
Eileen M Pack, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 322 E Cecil Ave # 1, North East, MD 21901 Phone: 410-287-5570 |