| Alexa Tanner, NP-C | |
|
26215 Ridge Rd, Damascus, MD 20872-1829 | |
| (301) 253-1100 | |
| (301) 825-5163 |
| Full Name | Alexa Tanner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 26215 Ridge Rd, Damascus, 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 |
|---|---|---|---|
| 1497130801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R206585 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dal Dermatology, Inc. | 0840465779 | 4 |
| Entity Name | Dal Dermatology, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689950610 PECOS PAC ID: 0840465779 Enrollment ID: O20111205000594 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexa Tanner, NP-C 7275 Swan Point Way, Columbia, MD 21045-5052 Ph: () - | Alexa Tanner, NP-C 26215 Ridge Rd, Damascus, MD 20872-1829 Ph: (301) 253-1100 |
Ms. Judith Stevens Moriarty, CNM, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26005 Ridge Rd, #200, Damascus, MD 20872 Phone: 301-414-2300 | |
Anita Opara, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10440 Carlyn Ridge Rd, Damascus, MD 20872 Phone: 240-400-0471 | |
Miranda Sanborn, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 32 Clearwater Ct, Damascus, MD 20872 Phone: 301-253-1862 | |
Ms. Dominique Nicole Shaw, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26005 Ridge Rd Ste 200, Damascus, MD 20872 Phone: 301-414-2300 | |
Mrs. Christine Deslauriers, CRNP-PMH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10959 Middleboro Dr, Damascus, MD 20872 Phone: 301-370-6334 | |
Esther Amoah, DNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 9815 Main St Ste 208, Damascus, MD 20872 Phone: 012-534-0043 Fax: 301-253-3391 |