Samantha Hall, | |
5963 Exchange Dr Ste 100, Eldersburg, MD 21784-9256 | |
(410) 549-0900 | |
Not Available |
Full Name | Samantha Hall |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5963 Exchange Dr Ste 100, Eldersburg, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578262689 | NPI | - | NPPES |
R211207 | Other | MD | MARYLAND DEPARTMENT OF HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R211207 (Maryland) | Primary |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
Entity Name | Privia Care Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164874426 PECOS PAC ID: 3274801139 Enrollment ID: O20170619000055 |
Mailing Address | Practice Location Address |
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Samantha Hall, 5963 Exchange Dr Ste 100, Eldersburg, MD 21784-9256 Ph: (410) 549-0900 | Samantha Hall, 5963 Exchange Dr Ste 100, Eldersburg, MD 21784-9256 Ph: (410) 549-0900 |
Ms. Lavon Jeanine Magruder, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5963 Exchange Dr Ste 100, Eldersburg, MD 21784 Phone: 410-549-0900 | |
Mrs. Francesca Juliet Carhart, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5963 Exchange Dr Ste 100, Eldersburg, MD 21784 Phone: 410-549-0900 | |
Angela Harlee, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6040 Sykesville Rd, Eldersburg, MD 21784 Phone: 410-781-4720 | |
Mei Ching Lee, A-GNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1645 Liberty Rd Ste 204, Eldersburg, MD 21784 Phone: 410-795-7737 | |
Mrs. Crystal Olivia Leonard, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6190 Georgetown Blvd, Eldersburg, MD 21784 Phone: 410-552-5050 Fax: 410-552-0200 | |
Lechia Frederick, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1912 Liberty Rd Spc 30, Eldersburg, MD 21784 Phone: 410-861-0740 Fax: 434-225-9723 | |
Rebecca Rubin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1380 Progress Way, Suite 102, Eldersburg, MD 21784 Phone: 410-795-0257 |