| Katie Rae Bennett, NP-C | |
|
1000 E Eager St, Baltimore, MD 21202-5533 | |
| (410) 522-9800 | |
| (410) 522-5136 |
| Full Name | Katie Rae Bennett |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 1000 E Eager St, Baltimore, 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 |
|---|---|---|---|
| 1215177464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R158893 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bostons Community Medical Group Inc | 1355390691 | 31 |
| Entity Name | Bostons Community Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235174418 PECOS PAC ID: 1355390691 Enrollment ID: O20050113000756 |
| Entity Name | Matrix Medical Plus |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20211103001058 |
| Entity Name | Commonwealth Clinical Alliance, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679605091 PECOS PAC ID: 3870009533 Enrollment ID: O20250721000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Rae Bennett, NP-C 3100 Wyman Park Dr, Baltimore, MD 21211-2803 Ph: (410) 338-3500 | Katie Rae Bennett, NP-C 1000 E Eager St, Baltimore, MD 21202-5533 Ph: (410) 522-9800 |
Ms. Lindsay Bream O'meara, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Suite S4d07, Baltimore, MD 21201 Phone: 410-328-3365 |
Mrs. Tamara Jeanne Setola, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Johnnycake Rd Ste 101, Baltimore, MD 21244 Phone: 410-719-0063 |
Alison C Eissler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 N. Martin Luther King Jr. Blvd, Suite 102, Baltimore, MD 21201 Phone: 610-716-0192 |
Mrs. Rebecca Delaney Tsao, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98 North Broadway, Suite 421, Baltimore, MD 21231 Phone: 410-955-6211 |
Kamishia Thomas Parham, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3407 Wilkens Ave Ste 300, Baltimore, MD 21229 Phone: 410-644-5111 |
Dana Aybout, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4940 Eastern Avenue, Baltimore, MD 21264 Phone: 410-550-5568 Fax: 410-550-0470 |
Andrew Brave, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-601-9000 |