Carissa Dear, NP | |
901 Harry S Truman Dr N, Largo, MD 20774-5477 | |
(571) 358-7703 | |
Not Available |
Full Name | Carissa Dear |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 901 Harry S Truman Dr N, Largo, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609195338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 0024168631 (Virginia) | Secondary |
363L00000X | Nurse Practitioner | AC005025 (Maryland) | Primary |
Entity Name | Southeastern Intensivist Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912942665 PECOS PAC ID: 9335152107 Enrollment ID: O20190131001122 |
Mailing Address | Practice Location Address |
---|---|
Carissa Dear, NP 24984 Glasgow Heights Ter, Chantilly, VA 20152-3225 Ph: (571) 358-7703 | Carissa Dear, NP 901 Harry S Truman Dr N, Largo, MD 20774-5477 Ph: (571) 358-7703 |
Mr. Raymond Aseh Ofe, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Mercantile Ln Ste 200, Largo, MD 20774 Phone: 240-350-8841 | |
Ms. Valerie May Stevens, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Lane, Largo, MD 20774 Phone: 301-618-5578 Fax: 301-618-5673 | |
Ms. Frances Justine Caffie-wright, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1701 Mccormick Dr, Prince George's County Health Department, Largo, MD 20774 Phone: 301-883-7887 Fax: 301-883-7896 | |
Ms. Sheryl L Clements, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Lane, Largo, MD 20774 Phone: 301-618-5578 Fax: 301-618-5673 | |
Ms. Brownhilda E Tanyi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1221 Mercantile Ln, Largo, MD 20774 Phone: 301-618-5500 Fax: 301-618-5000 | |
Mrs. Kumutha Flawrence Daniel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 Mercantile Ln Ste 200h, Largo, MD 20774 Phone: 301-957-5451 | |
Ms. Kristin A Silva, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1221 Mercantile Lane, Largo, MD 20774 Phone: 301-618-5578 Fax: 301-618-5673 |