| Carol Summers, CRNP | |
|
645 Baltimore Annapolis Blvd Ste 105, Severna Park, MD 21146-3956 | |
| (410) 793-5212 | |
| (410) 793-5779 |
| Full Name | Carol Summers |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 645 Baltimore Annapolis Blvd Ste 105, Severna Park, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780066761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LN0005X | Nurse Practitioner - Neonatal, Critical Care | R116883 (Maryland) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R116883 (Maryland) | Primary |
| Entity Name | University Of Maryland Pediatric Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528163912 PECOS PAC ID: 6800888678 Enrollment ID: O20040401000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Summers, CRNP 1300 Ritchie Hwy Ste B, Arnold, MD 21012-2244 Ph: (410) 793-5212 | Carol Summers, CRNP 645 Baltimore Annapolis Blvd Ste 105, Severna Park, MD 21146-3956 Ph: (410) 793-5212 |
Erica Herdecker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 560 Jumpers Hole Rd, Severna Park, MD 21146 Phone: 301-788-8506 | |
Jean Jacklin, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 Ritchie Hwy, Suite 203, Severna Park, MD 21146 Phone: 410-897-2936 Fax: 410-793-5240 | |
Danielle Mitsch, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 877 Baltimore Annapolis Blvd Ste 202, Severna Park, MD 21146 Phone: 410-684-3806 | |
Alexa Belfonte, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 Ritchie Hwy, Severna Park, MD 21146 Phone: 301-404-7830 | |
Meredith Baker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 770 Ritchie Hwy Ste W19, Severna Park, MD 21146 Phone: 410-375-0444 | |
Andrea Colagiacomo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 Ritchie Hwy, Severna Park, MD 21146 Phone: 240-419-9658 | |
Sarah Kuhl, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 692 Ritchie Hwy, Severna Park, MD 21146 Phone: 410-721-2273 |