Michele Kyle Bradshaw, | |
6120 Baltimore National Pike Ste 200, Catonsville, MD 21228-2930 | |
(301) 291-5272 | |
Not Available |
Full Name | Michele Kyle Bradshaw |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 6120 Baltimore National Pike Ste 200, Catonsville, Maryland |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063158723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024184288 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Psychogeriatric Services Llc | 6002719226 | 124 |
Psychogeriatric Services Llc | 6002719226 | 124 |
Entity Name | Psychogeriatric Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588689483 PECOS PAC ID: 6002719226 Enrollment ID: O20040127000803 |
Mailing Address | Practice Location Address |
---|---|
Michele Kyle Bradshaw, 11140 Rockville Pike Ste 100, Rockville, MD 20852-3149 Ph: (571) 505-0227 | Michele Kyle Bradshaw, 6120 Baltimore National Pike Ste 200, Catonsville, MD 21228-2930 Ph: (301) 291-5272 |
Christina Fang, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Geipe Rd Ste 230, Catonsville, MD 21228 Phone: 410-247-7500 Fax: 410-247-4227 | |
Mrs. Ija Lynn Delia, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 Maiden Choice Ln, Catonsville, MD 21228 Phone: 410-247-5602 Fax: 410-242-1756 | |
Joy C Odinammadu, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6400 Baltimore National Pike Ste 170a, Catonsville, MD 21228 Phone: 443-739-7947 | |
Belinda Okoruwa, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Ingleside Ave, Catonsville, MD 21228 Phone: 443-551-3784 | |
Tiffany D Reabold, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 Frederick Rd, Catonsville, MD 21228 Phone: 410-644-1880 Fax: 410-646-3623 | |
Dr. Renada Lynn Gilliard, DNP, MS, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Turk Garth, Catonsville, MD 21228 Phone: 443-695-4433 |