| Jacquelyn C Wallander, DNP CRNP | |
|
985 Prince Frederick Blvd, Suite 201, Prince Frederick, MD 20678-3492 | |
| (410) 414-5329 | |
| (410) 535-4850 |
| Full Name | Jacquelyn C Wallander |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 985 Prince Frederick Blvd, Prince Frederick, 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 |
|---|---|---|---|
| 1063180792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | R227415 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Calvert Internal Medicine Group, Pa | 1759371834 | 33 |
| Entity Name | Calvert Internal Medicine Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174682298 PECOS PAC ID: 1759371834 Enrollment ID: O20040512001521 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn C Wallander, DNP CRNP 985 Prince Frederick Blvd Suite 201, Prince Frederick, MD 20678-3492 Ph: (410) 414-5329 | Jacquelyn C Wallander, DNP CRNP 985 Prince Frederick Blvd, Suite 201, Prince Frederick, MD 20678-3492 Ph: (410) 414-5329 |
Ms. Carla Schell Bowling, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 85 Hospital Rd, Prince Frederick, MD 20678 Phone: 443-827-9593 | |
Mrs. Lacy Twining Pitman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Hospital Rd Ste 111, Prince Frederick, MD 20678 Phone: 410-535-4488 Fax: 443-771-8114 | |
Nancy Hartman, CRNP-ADULT Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Steeple Chase Dr, Suite 103, Prince Frederick, MD 20678 Phone: 410-414-5633 Fax: 410-414-5911 | |
Elizabeth Duffy, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Rd, Prince Frederick, MD 20678 Phone: 410-414-4836 | |
Ms. Deborah R Brower, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 489 Main St, Suite 102, Prince Frederick, MD 20678 Phone: 410-414-5633 Fax: 410-414-5911 | |
Marijo Cosmas, MS, RN, AOCN, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Steeple Chase Dr, Suite 404, Prince Frederick, MD 20678 Phone: 410-535-2811 Fax: 410-535-1865 |