Toni Jamisin Victoria Fife, | |
7836 Oakwood Rd, Glen Burnie, MD 21061-4298 | |
(410) 768-6011 | |
Not Available |
Full Name | Toni Jamisin Victoria Fife |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 2 Years |
Location | 7836 Oakwood Rd, Glen Burnie, 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 |
---|---|---|---|
1619577566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024180392 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brightstone, Llc | 5395071351 | 2 |
Psychogeriatric Services Llc | 6002719226 | 124 |
Hampton Mental Health Associates, Inc | 9133113996 | 12 |
Entity Name | Hampton Mental Health Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356432801 PECOS PAC ID: 9133113996 Enrollment ID: O20040413001753 |
Entity Name | Psychogeriatric Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588689483 PECOS PAC ID: 6002719226 Enrollment ID: O20150717001653 |
Entity Name | Brightstone, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538726203 PECOS PAC ID: 5395071351 Enrollment ID: O20190729002543 |
Mailing Address | Practice Location Address |
---|---|
Toni Jamisin Victoria Fife, Po Box 848, Stephens City, VA 22655-0848 Ph: (540) 771-4204 | Toni Jamisin Victoria Fife, 7836 Oakwood Rd, Glen Burnie, MD 21061-4298 Ph: (410) 768-6011 |
Ms. Docia Owusu, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7575 E Howard Rd, Glen Burnie, MD 21060 Phone: 410-768-8200 | |
Marlowe Ann Driscoll, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7671 Quarterfield Rd Ste 301, Glen Burnie, MD 21061 Phone: 855-527-7246 Fax: 866-229-5063 | |
Jesse Okonigbo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 Warwickshire Ln, Apt E, Glen Burnie, MD 21061 Phone: 302-382-7248 | |
Mrs. Theresa Eileen Deveaux, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-553-8300 Fax: 410-553-8349 | |
Ms. Linda Jean Swallow, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 Hospital Dr, 1st Floor, Glen Burnie, MD 21061 Phone: 410-552-8154 Fax: 410-553-8134 | |
Mary Bourbon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 Phone: 410-768-5050 | |
Christine Marie Habersaat, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 Madison Park Dr Ste 1, Glen Burnie, MD 21061 Phone: 410-582-9434 |