Mr Timothy James Hall, CRNP | |
301 Hospital Dr, Glen Burnie, MD 21061-5803 | |
(410) 787-4000 | |
Not Available |
Full Name | Mr Timothy James Hall |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 301 Hospital Dr, 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 |
---|---|---|---|
1598428724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | R225962 (Maryland) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | R225962 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Maryland Medical Center | Baltimore, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Maryland Oncology Associates Pa | 0446156483 | 54 |
Entity Name | University Of Maryland Oncology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679523575 PECOS PAC ID: 0446156483 Enrollment ID: O20031210000323 |
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 |
Mailing Address | Practice Location Address |
---|---|
Mr Timothy James Hall, CRNP 7533 Main St Apt A, Sykesville, MD 21784-5312 Ph: () - | Mr Timothy James Hall, CRNP 301 Hospital Dr, Glen Burnie, MD 21061-5803 Ph: (410) 787-4000 |
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 |