Jerome Cabalhin Lastimosa, CRNP-ADULT in Glen Burnie, MD

Jerome Cabalhin Lastimosa, CRNP-ADULT is a medicare enrolled "Nurse Practitioner - Gerontology" in Glen Burnie, Maryland. He graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Synergy Medical Group Llc, University Of Maryland Community Medical Group Inc, Synergy Medical Group Llc and his current practice location is 300 Hospital Dr, Glen Burnie, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 787-4000.

Jerome Cabalhin Lastimosa is licensed to practice in Maryland (license number R184022) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588316798.

Contact Information

	Jerome Cabalhin Lastimosa, CRNP-ADULT
	300 Hospital Dr, Glen Burnie, MD 21061-6902
	(410) 787-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jerome Cabalhin Lastimosa
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	300 Hospital Dr, Glen Burnie, Maryland
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jerome Cabalhin Lastimosa graduated from nursing school in 2021

NPI Data:

NPI Number: 1588316798
Provider Enumeration Date: 01/20/2022
Last Update Date: 07/28/2025

Medicare PECOS Information:

PECOS PAC ID: 7315330180
Enrollment ID: I20220201000019

Medical Identifiers

Medical identifiers for Jerome Cabalhin Lastimosa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588316798	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	R184022 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Synergy Medical Group Llc	0749644177	46
University Of Maryland Community Medical Group Inc	3678472214	394
Synergy Medical Group Llc	0749644177	46

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. Jerome Cabalhin Lastimosa allows following entities to bill medicare on his behalf.

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	Integrated Wound Care Maryland Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154963056 PECOS PAC ID: 4880026822 Enrollment ID: O20191113002533

Entity Name	Dialog Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235729153 PECOS PAC ID: 2860809878 Enrollment ID: O20210602000529

Entity Name	Synergy Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912736901 PECOS PAC ID: 0749644177 Enrollment ID: O20230918003366

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. Jerome Cabalhin Lastimosa 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
Jerome Cabalhin Lastimosa, CRNP-ADULT 1326 Goodwood Ave, Essex, MD 21221-6012 Ph: (443) 935-8144	Jerome Cabalhin Lastimosa, CRNP-ADULT 300 Hospital Dr, Glen Burnie, MD 21061-6902 Ph: (410) 787-4000

Reviews and Comments

Nurse Practitioner Nurses in Glen Burnie, MD

Ms. Docia Owusu, CRNP-PMH Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7575 E Howard Rd, Glen Burnie, MD 21060 Phone: 410-768-8200
Mrs. Theresa Eileen Deveaux, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-553-8300 Fax: 410-553-8349
Ms. Linda Jean Swallow, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 Hospital Dr, 1st Floor, Glen Burnie, MD 21061 Phone: 410-552-8154 Fax: 410-553-8134
Mary Bourbon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 Phone: 410-768-5050
Christine Marie Habersaat, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 Madison Park Dr Ste 1, Glen Burnie, MD 21061 Phone: 410-582-9434
Opemipo Doyin Ogeyingbo, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 464 Norvelle Ct, Glen Burnie, MD 21061 Phone: 301-592-7286
Cierra N Vaughters, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 325 Hospital Dr Ste 106, Glen Burnie, MD 21061 Phone: 443-430-2998

Jerome Cabalhin Lastimosa, CRNP-ADULT - Medicare Nurse Practitioner in Glen Burnie, MD