Ms Shirley Jane Sample, CRNP in Lutherville, MD

Ms Shirley Jane Sample, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Lutherville, Maryland. Her current practice location is 1300 Bellona Ave Ste B, Lutherville, Maryland. You can reach out to her office (for appointments etc.) via phone at (844) 606-5105.

Ms Shirley Jane Sample is licensed to practice in Maryland (license number R080367) 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 1417019936.

Contact Information

	Ms Shirley Jane Sample, CRNP
	1300 Bellona Ave Ste B, Lutherville, MD 21093-5466
	(844) 606-5105
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Shirley Jane Sample
Gender	Female
Speciality
Experience	Years
Location	1300 Bellona Ave Ste B, Lutherville, 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:

Ms Shirley Jane Sample attended and graduated from in

NPI Data:

NPI Number: 1417019936
Provider Enumeration Date: 12/14/2006
Last Update Date: 08/20/2014

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Ms Shirley Jane Sample such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417019936	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	R080367 (Maryland)	Primary

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. Ms Shirley Jane Sample 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
Ms Shirley Jane Sample, CRNP 11525 Hannibal Rd, Glen Arm, MD 21057-9207 Ph: (443) 807-1737	Ms Shirley Jane Sample, CRNP 1300 Bellona Ave Ste B, Lutherville, MD 21093-5466 Ph: (844) 606-5105

Reviews and Comments

Nurse Practitioner Nurses in Lutherville, MD

Mrs. Joanne Elizabeth Desmond, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10755 Falls Rd, Suite 260, Lutherville, MD 21093 Phone: 410-583-2955
Ms. Nelli Zafman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10753 Falls Rd, Suite 145, Lutherville, MD 21093 Phone: 410-583-2970
Dr. Michael Nwandu, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 York Rd Ste 601, Lutherville, MD 21093 Phone: 443-442-4818 Fax: 410-650-9053
Mrs. Marye Kellermann, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 31 Blondell Ct, Lutherville, MD 21093 Phone: 410-494-0398 Fax: 410-494-1445
Rebecca Millison, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16 Westspring Way, Lutherville, MD 21093 Phone: 443-465-6937
Kayla Mardaga, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1300 York Rd Ste 30d, Lutherville, MD 21093 Phone: 443-519-2128
Erica P. Cerquetti, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 Pot Spring Road, Mercy Ridge Inc., Lutherville, MD 21093 Phone: 410-561-0200

Ms Shirley Jane Sample, CRNP - Medicare in Lutherville, MD