Ms Theresa L Dematteo Pugh, MS CRNP in Nottingham, MD

Ms Theresa L Dematteo Pugh, MS CRNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Nottingham, Maryland. Her current practice location is 4924 Campbell Blvd, Suite 200, Nottingham, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 442-2300.

Ms Theresa L Dematteo Pugh is licensed to practice in Maryland (license number R076644) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841390713.

Contact Information

	Ms Theresa L Dematteo Pugh, MS CRNP
	4924 Campbell Blvd, Suite 200, Nottingham, MD 21236-5908
	(443) 442-2300
	(443) 442-2360

Map and Direction

Provider's Profile

Full Name	Ms Theresa L Dematteo Pugh
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	4924 Campbell Blvd, Nottingham, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841390713
Provider Enumeration Date: 09/22/2006
Last Update Date: 05/09/2013

Medicare PECOS Information:

PECOS PAC ID: 3870618879
Enrollment ID: I20100914001250

Medical Identifiers

Medical identifiers for Ms Theresa L Dematteo Pugh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841390713	NPI	-	NPPES
622361300	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	R076644 (Maryland)	Primary

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. Ms Theresa L Dematteo Pugh allows following entities to bill medicare on her behalf.

Entity Name	Johns Hopkins Community Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578598868 PECOS PAC ID: 8325943707 Enrollment ID: O20031220000065

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 Theresa L Dematteo Pugh 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 Theresa L Dematteo Pugh, MS CRNP 3100 Wyman Park Dr, Baltimore, MD 21211-2803 Ph: () -	Ms Theresa L Dematteo Pugh, MS CRNP 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236-5908 Ph: (443) 442-2300

Reviews and Comments

Nurse Practitioner Nurses in Nottingham, MD

Emily Niles, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8114 Sandpiper Cir, Nottingham, MD 21236 Phone: 410-933-8101
Keonna L Walton, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5230 Campbell Blvd, Nottingham, MD 21236 Phone: 410-933-9680
Debrahe K. Rowland, AG-ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4924 Campbell Blvd, Nottingham, MD 21236 Phone: 443-442-2300
Mrs. Paula Joy Ison, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9309 Belair Rd Ste D, Nottingham, MD 21236 Phone: 410-505-7952
Myeisha Furr, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9649 Belair Rd Fl 2, Nottingham, MD 21236 Phone: 410-256-9340 Fax: 410-601-1052
Emma Canto-vaught, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8114 Sandpiper Cir Ste 100, Nottingham, MD 21236 Phone: 410-933-8101
Mr. Carlos A Romero-escobar Jr., FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8605 Ridgelys Choice Dr, Nottingham, MD 21236 Phone: 855-910-3278

Ms Theresa L Dematteo Pugh, MS CRNP - Medicare Nurse Practitioner in Nottingham, MD