| Freda Boateng, CRNP, FNP | |
|
1205 York Rd Ste 26, Lutherville, MD 21093-6211 | |
| (410) 532-1640 | |
| (410) 321-5787 |
| Full Name | Freda Boateng |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1205 York Rd Ste 26, Lutherville, 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 |
|---|---|---|---|
| 1295471373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R226241 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optimize Medical Group | 0446512040 | 25 |
| Mid-atlantic Nephrology Associates Pa | 2769469006 | 55 |
| Entity Name | Mid-atlantic Nephrology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356390108 PECOS PAC ID: 2769469006 Enrollment ID: O20040702001212 |
| Entity Name | Optimize Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952818999 PECOS PAC ID: 0446512040 Enrollment ID: O20180320000084 |
| Mailing Address | Practice Location Address |
|---|---|
| Freda Boateng, CRNP, FNP 1589 Sulphur Spring Rd Ste 109, Baltimore, MD 21227-2542 Ph: (443) 575-4880 | Freda Boateng, CRNP, FNP 1205 York Rd Ste 26, Lutherville, MD 21093-6211 Ph: (410) 532-1640 |
Mrs. Joanne Elizabeth Desmond, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10755 Falls Rd, Suite 260, Lutherville, MD 21093 Phone: 410-583-2955 | |
Ms. Nelli Zafman, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 10753 Falls Rd, Suite 145, Lutherville, MD 21093 Phone: 410-583-2970 | |
Dr. Michael Nwandu, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 York Rd Ste 601, Lutherville, MD 21093 Phone: 443-442-4818 Fax: 410-650-9053 | |
Mrs. Marye Kellermann, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 31 Blondell Ct, Lutherville, MD 21093 Phone: 410-494-0398 Fax: 410-494-1445 | |
Rebecca Millison, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16 Westspring Way, Lutherville, MD 21093 Phone: 443-465-6937 | |
Kayla Mardaga, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1300 York Rd Ste 30d, Lutherville, MD 21093 Phone: 443-519-2128 | |
Erica P. Cerquetti, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2525 Pot Spring Road, Mercy Ridge Inc., Lutherville, MD 21093 Phone: 410-561-0200 |