Mrs Lesley Stiffler Beavers, CRNP in Baltimore, MD

Mrs Lesley Stiffler Beavers, CRNP is a medicare enrolled "Nurse Practitioner" in Baltimore, Maryland. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Luminis Health Medical Group, Llc, Johns Hopkins University and her current practice location is 4940 Eastern Ave, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (541) 990-4610.

Mrs Lesley Stiffler Beavers is licensed to practice in Maryland (license number R193367) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407313505.

Contact Information

	Mrs Lesley Stiffler Beavers, CRNP
	4940 Eastern Ave, Baltimore, MD 21224-2735
	(541) 990-4610
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lesley Stiffler Beavers
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	4940 Eastern Ave, Baltimore, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Lesley Stiffler Beavers graduated from nursing school in 2018

NPI Data:

NPI Number: 1407313505
Provider Enumeration Date: 02/25/2019
Last Update Date: 10/14/2024

Medicare PECOS Information:

PECOS PAC ID: 2264765346
Enrollment ID: I20190604002197

Medical Identifiers

Medical identifiers for Mrs Lesley Stiffler Beavers such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407313505	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R193367 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Johns Hopkins Hospital, The	Baltimore, MD	Hospital
Anne Arundel Medical Center	Annapolis, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Luminis Health Medical Group, Llc	2860447315	437
Johns Hopkins University	8921903147	2656

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Lesley Stiffler Beavers allows following entities to bill medicare on her behalf.

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719

Entity Name	Luminis Health Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lesley Stiffler Beavers is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Lesley Stiffler Beavers, CRNP 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-1340	Mrs Lesley Stiffler Beavers, CRNP 4940 Eastern Ave, Baltimore, MD 21224-2735 Ph: (541) 990-4610

Reviews and Comments

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Mrs Lesley Stiffler Beavers, CRNP - Medicare Nurse Practitioner in Baltimore, MD