Mrs Theresa Eileen Deveaux, CRNP | |
301 Hospital Dr, Glen Burnie, MD 21061-5803 | |
(410) 553-8300 | |
(410) 553-8349 |
Full Name | Mrs Theresa Eileen Deveaux |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 301 Hospital Dr, Glen Burnie, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013919067 | NPI | - | NPPES |
F591 0008 | Other | DC | CAREFIRST BLUE CROSS DC |
4992 | Other | MD | BRAVO/ELDER HEALTH |
61740701 | Other | MD | CAREFIRST BLUE CROSS MD |
400067600 | Medicaid | MD | |
107423 | Other | MD | AMERIGROUP |
22500900 | Other | MD | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | R093166 (Maryland) | Primary |
Entity Name | University Of Maryland Community Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687 |
Entity Name | Baltimore Washington Medical Center Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124016696 PECOS PAC ID: 7719879485 Enrollment ID: O20040326001160 |
Mailing Address | Practice Location Address |
---|---|
Mrs Theresa Eileen Deveaux, CRNP 301 Hospital Drive, Glen Burnie, MD 21061 Ph: (410) 553-8300 | Mrs Theresa Eileen Deveaux, CRNP 301 Hospital Dr, Glen Burnie, MD 21061-5803 Ph: (410) 553-8300 |
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 | |
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 |