William C Gough, NP | |
7601 Osler Drive, Saint Joseph Medical Center, Towson, MD 21204 | |
(410) 337-1226 | |
(410) 337-1118 |
Full Name | William C Gough |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 7601 Osler Drive, Towson, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588616957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R079820 (Maryland) | Primary |
Entity Name | Statcare Group Iii, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902261308 PECOS PAC ID: 7214221472 Enrollment ID: O20160810002076 |
Mailing Address | Practice Location Address |
---|---|
William C Gough, NP 7402 York Rd, Suite 200, Towson, MD 21204-7532 Ph: (410) 821-7471 | William C Gough, NP 7601 Osler Drive, Saint Joseph Medical Center, Towson, MD 21204 Ph: (410) 337-1226 |
Jeaninne Blackwell, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 Dulaney Valley Rd, Towson, MD 21204 Phone: 410-567-1117 | |
Karen Renee Vancamp, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Dulaney Valley Rd Ste 129, Towson, MD 21204 Phone: 888-818-6595 | |
Kamiylah Lawson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6501 N Charles St, Towson, MD 21204 Phone: 410-938-3000 | |
Mr. Linda Duerr Sindler, C.R.N.P, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Towson Univ Dowell Health Ctr, 8000 York Rd, Towson, MD 21252 Phone: 410-704-2466 Fax: 410-704-3715 | |
Gail Patricia Nuetzel, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6565 N Charles St, Suite 512, Towson, MD 21204 Phone: 410-583-0300 Fax: 410-583-0306 | |
Nicole Lee Hormes, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 410-718-9929 | |
Nkem G Uradu, CRNP-PMH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8600 Lasalle Road Suite 321, Towson, MD 21286 Phone: 443-985-0391 |