Tetyana Evans, PMHNP | |
2528 Mountain Rd Ste 102-204, Pasadena, MD 21122-7203 | |
(443) 839-6928 | |
Not Available |
Full Name | Tetyana Evans |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2528 Mountain Rd Ste 102-204, Pasadena, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285927723 | NPI | - | NPPES |
041988500 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R173941 (Maryland) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | R173941 (Maryland) | Secondary |
Entity Name | Triumph Behavioral Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376999581 PECOS PAC ID: 9739470667 Enrollment ID: O20160623000286 |
Entity Name | Matclinic Physicians Practice Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104375294 PECOS PAC ID: 3274804349 Enrollment ID: O20170808001490 |
Entity Name | Evolve Life Centers Iop Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568123966 PECOS PAC ID: 6002291051 Enrollment ID: O20220913000039 |
Mailing Address | Practice Location Address |
---|---|
Tetyana Evans, PMHNP 2528 Mountain Rd, Pasadena, MD 21122-7203 Ph: (443) 548-3733 | Tetyana Evans, PMHNP 2528 Mountain Rd Ste 102-204, Pasadena, MD 21122-7203 Ph: (443) 839-6928 |
Mrs. Carolyn R. Decker, RN, MSN, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 433 Edgewater Rd, Pasadena, MD 21122 Phone: 410-255-5864 | |
Danielle Cheplowitz, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24 Magothy Beach Rd, Pasadena, MD 21122 Phone: 410-255-2700 | |
Heather Mekins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28 Magothy Beach Rd, Pasadena, MD 21122 Phone: 410-437-6450 | |
Katarina Marinzel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 Ritchie Hwy, Pasadena, MD 21122 Phone: 877-462-1102 | |
Erik Barr, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 Mountain Rd # 1011, Pasadena, MD 21122 Phone: 443-399-3922 | |
Brittany Lauren Peed, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8015 Apple Valley Dr, Pasadena, MD 21122 Phone: 410-255-0102 | |
Jeanne Alhusen, PHD, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24 Magothy Beach Rd Ste A, Pasadena, MD 21122 Phone: 410-255-2700 |