Rebecca Ellen, CRNP | |
6999 Reisterstown Rd Ste 4, Attention Rebecca Ellen, Baltimore, MD 21215-1492 | |
(305) 720-4743 | |
Not Available |
Full Name | Rebecca Ellen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 6999 Reisterstown Rd Ste 4, 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 |
---|---|---|---|
1962740407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R222482 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Luminis Health Medical Group, Llc | 2860447315 | 437 |
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 |
Entity Name | Kraus Behavioral Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083033708 PECOS PAC ID: 4587880943 Enrollment ID: O20140722000710 |
Mailing Address | Practice Location Address |
---|---|
Rebecca Ellen, CRNP 6999 Reisterstown Rd Ste 4, Attention Rebecca Ellen, Baltimore, MD 21215-1492 Ph: (305) 720-4743 | Rebecca Ellen, CRNP 6999 Reisterstown Rd Ste 4, Attention Rebecca Ellen, Baltimore, MD 21215-1492 Ph: (305) 720-4743 |
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