| Monique Michall Samuel, CRNP | |
|
312 Kestrel Dr, Belcamp, MD 21017-1708 | |
| (134) 765-3347 | |
| Not Available |
| Full Name | Monique Michall Samuel |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 312 Kestrel Dr, Belcamp, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508597444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R205012 (Maryland) | Primary |
| Entity Name | Whole Body Healthcare, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740729482 PECOS PAC ID: 7012281348 Enrollment ID: O20170925002590 |
| Entity Name | Whole Body Healthcare Parkville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578139291 PECOS PAC ID: 8022413913 Enrollment ID: O20210816001122 |
| Mailing Address | Practice Location Address |
|---|---|
| Monique Michall Samuel, CRNP 312 Kestrel Dr, Belcamp, MD 21017-1708 Ph: (134) 765-3347 | Monique Michall Samuel, CRNP 312 Kestrel Dr, Belcamp, MD 21017-1708 Ph: (134) 765-3347 |
Kayla Herne, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Bata Blvd, Belcamp, MD 21017 Phone: 410-575-6611 | |
Ms. Deborah Joan Starr, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 Bata Blvd, Suite A, Belcamp, MD 21017 Phone: 410-575-6611 Fax: 410-575-6018 | |
Amy Scott, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1123 Belcamp Garth, Belcamp, MD 21017 Phone: 410-575-6400 | |
Sarah Bagley Johnson, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4690 Millennium Dr Ste 300, Belcamp, MD 21017 Phone: 410-914-8152 Fax: 410-847-2275 | |
Amanda Kelly, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Bata Blvd Ste A, Belcamp, MD 21017 Phone: 410-575-6611 | |
Kemah Clarke, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Golden Eagle Way, Belcamp, MD 21017 Phone: 443-801-0345 |