Mr Ilya Rozenberg, MS/CRNP | |
7452 Baltimore Annapolis Blvd, Suite 107, Glen Burnie, MD 21061-3547 | |
(410) 766-1544 | |
(410) 766-1551 |
Full Name | Mr Ilya Rozenberg |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 23 Years |
Location | 7452 Baltimore Annapolis Blvd, Glen Burnie, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467460865 | NPI | - | NPPES |
402464800 | Medicaid | MD | |
463350400 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R143360 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Holistic Approach Mental Health,llc | 3779711973 | 2 |
Entity Name | Holistic Approach Mental Health,llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528496650 PECOS PAC ID: 3779711973 Enrollment ID: O20140115001189 |
Mailing Address | Practice Location Address |
---|---|
Mr Ilya Rozenberg, MS/CRNP 3 Marcie Woods Ct, Baltimore, MD 21208-1965 Ph: (410) 766-1544 | Mr Ilya Rozenberg, MS/CRNP 7452 Baltimore Annapolis Blvd, Suite 107, Glen Burnie, MD 21061-3547 Ph: (410) 766-1544 |
Ms. Docia Owusu, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7575 E Howard Rd, Glen Burnie, MD 21060 Phone: 410-768-8200 | |
Marlowe Ann Driscoll, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7671 Quarterfield Rd Ste 301, Glen Burnie, MD 21061 Phone: 855-527-7246 Fax: 866-229-5063 | |
Jesse Okonigbo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 Warwickshire Ln, Apt E, Glen Burnie, MD 21061 Phone: 302-382-7248 | |
Mrs. Theresa Eileen Deveaux, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-553-8300 Fax: 410-553-8349 | |
Ms. Linda Jean Swallow, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 Hospital Dr, 1st Floor, Glen Burnie, MD 21061 Phone: 410-552-8154 Fax: 410-553-8134 | |
Mary Bourbon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 Phone: 410-768-5050 | |
Christine Marie Habersaat, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 Madison Park Dr Ste 1, Glen Burnie, MD 21061 Phone: 410-582-9434 |