| Doris Allen Tate, CRNP, BC-ADM | |
|
1110 S Talbot St Ste 9, St Michaels, MD 21663-2606 | |
| (410) 490-6214 | |
| (800) 405-1473 |
| Full Name | Doris Allen Tate |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1110 S Talbot St Ste 9, St Michaels, 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 |
|---|---|---|---|
| 1275975542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R172337 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Luminis Health Anne Arundel Medical Center, Inc | Annapolis, MD | Hospital |
| University Of Md Shore Medical Center At Easton | Easton, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Luminis Health Medical Group, Llc | 2860447315 | 540 |
| Entity Name | University of Maryland Community Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687 |
| Entity Name | Luminis Health Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Doris Allen Tate, CRNP, BC-ADM 1110 S Talbot St Ste 9, St Michaels, MD 21663-2606 Ph: (410) 490-6214 | Doris Allen Tate, CRNP, BC-ADM 1110 S Talbot St Ste 9, St Michaels, MD 21663-2606 Ph: (410) 490-6214 |
Megan Harmer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 933 S Talbot St, St Michaels, MD 21663 Phone: 410-745-0200 Fax: 833-908-2281 |
Nancy Jane Hubbell, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Seymour Ave, St Michaels, MD 21663 Phone: 410-745-2882 |
Susan Marie Hagelman, CRNP PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Bush Ter, St Michaels, MD 21663 Phone: 410-226-6320 |
Gregory Dukes, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 933 S Talbot St Ste 4, St Michaels, MD 21663 Phone: 410-745-0200 Fax: 833-908-2281 |