Carol Summers, CRNP in Severna Park, MD - Medicare Nurse Practitioner

Carol Summers, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Severna Park, Maryland. Her current practice location is 645 Baltimore Annapolis Blvd Ste 105, Severna Park, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 793-5212.

Carol Summers is licensed to practice in Maryland (license number R116883) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780066761.

Contact Information

	Carol Summers, CRNP
	645 Baltimore Annapolis Blvd Ste 105, Severna Park, MD 21146-3956
	(410) 793-5212
	(410) 793-5779

Map and Direction

Provider's Profile

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.

NPI Data:

NPI Number: 1780066761
Provider Enumeration Date: 06/25/2015
Last Update Date: 07/07/2025

Medicare PECOS Information:

PECOS PAC ID: 1153639927
Enrollment ID: I20150928001150

Medical Identifiers

Medical identifiers for Carol Summers such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780066761	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	R116883 (Maryland)	Secondary
363LF0000X	Nurse Practitioner - Family	R116883 (Maryland)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carol Summers allows following entities to bill medicare on her behalf.

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carol Summers is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

Reviews and Comments

Nurse Practitioner Nurses in Severna Park, MD

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
Sarah Kuhl, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 692 Ritchie Hwy, Severna Park, MD 21146 Phone: 410-721-2273
Daphne Etienne, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 Jones Station Rd W, Severna Park, MD 21146 Phone: 410-647-0451

Carol Summers, CRNP - Medicare Nurse Practitioner in Severna Park, MD