| Michael Booth, | |
|
301 Hospital Dr, Glen Burnie, MD 21061-5803 | |
| (410) 787-4000 | |
| Not Available |
| Full Name | Michael Booth |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 301 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043818651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | R246125 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Md Baltimore Washington Medical Center | Glen burnie, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Maryland Community Medical Group Inc | 3678472214 | 394 |
| Johns Hopkins Community Physicians, Inc | 8325943707 | 683 |
| Entity Name | Johns Hopkins Community Physicians, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578598868 PECOS PAC ID: 8325943707 Enrollment ID: O20031220000065 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Booth, 301 Hospital Dr, Glen Burnie, MD 21061-5803 Ph: (410) 787-4000 | Michael Booth, 301 Hospital Dr, Glen Burnie, MD 21061-5803 Ph: (410) 787-4000 |
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 |