| Katharine Amy Piccoli, CRNP | |
|
1447 York Road, Suite 301, Lutherville, MD 21093-6022 | |
| (410) 252-9090 | |
| (410) 494-7064 |
| Full Name | Katharine Amy Piccoli |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 1447 York Road, 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 |
|---|---|---|---|
| 1245302652 | NPI | - | NPPES |
| 012916000 | Medicaid | MD | |
| 89201701 | Other | MD | CAREFIRST |
| 0032 | Other | BLUE SHIELD FEP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | R149558 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Skin Care Specialty Physicians Llc | 6608978622 | 16 |
| Entity Name | Skin Care Specialty Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477641447 PECOS PAC ID: 6608978622 Enrollment ID: O20070222000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Katharine Amy Piccoli, CRNP 1447 York Rd, Suite 301, Lutherville, MD 21093-6017 Ph: (410) 252-9090 | Katharine Amy Piccoli, CRNP 1447 York Road, Suite 301, Lutherville, MD 21093-6022 Ph: (410) 252-9090 |
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 |