Mrs Michelle Blackston, FNP | |
1105 N Point Blvd Ste 321, Baltimore, MD 21224-3472 | |
(410) 517-7060 | |
(443) 407-2942 |
Full Name | Mrs Michelle Blackston |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 1105 N Point Blvd Ste 321, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194277152 | NPI | - | NPPES |
783304100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R160398 (Maryland) | Secondary |
363L00000X | Nurse Practitioner | R160398 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Holistic Health And Wellness Llc | 3476941592 | 3 |
Entity Name | Mnr Industries Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457478703 PECOS PAC ID: 7416908843 Enrollment ID: O20050204000088 |
Entity Name | Harcart Health Holdings, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912911215 PECOS PAC ID: 7810097532 Enrollment ID: O20101013000400 |
Entity Name | Holistic Health And Wellness Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396355129 PECOS PAC ID: 3476941592 Enrollment ID: O20211022000386 |
Mailing Address | Practice Location Address |
---|---|
Mrs Michelle Blackston, FNP 1105 N Point Blvd Ste 321, Baltimore, MD 21224-3472 Ph: (410) 517-7060 | Mrs Michelle Blackston, FNP 1105 N Point Blvd Ste 321, Baltimore, MD 21224-3472 Ph: (410) 517-7060 |
Ms. Lindsay Bream O'meara, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Suite S4d07, Baltimore, MD 21201 Phone: 410-328-3365 | |
Mrs. Tamara Jeanne Setola, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Johnnycake Rd Ste 101, Baltimore, MD 21244 Phone: 410-719-0063 | |
Alison C Eissler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 N. Martin Luther King Jr. Blvd, Suite 102, Baltimore, MD 21201 Phone: 610-716-0192 | |
Mrs. Rebecca Delaney Tsao, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98 North Broadway, Suite 421, Baltimore, MD 21231 Phone: 410-955-6211 | |
Kamishia Latasha Thomas, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline Street, Baltimore, MD 21264 Phone: 443-997-0270 Fax: 410-614-1168 | |
Dana Aybout, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4940 Eastern Avenue, Baltimore, MD 21264 Phone: 410-550-5568 Fax: 410-550-0470 | |
Andrew Brave, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-601-9000 |