| Mrs Angela Jean Poltrack, CRNP | |
|
1800 Orleans St, Johns Hopkins Hospital - Cvsicu, Baltimore, MD 21287-0010 | |
| (410) 955-4826 | |
| (410) 955-8460 |
| Full Name | Mrs Angela Jean Poltrack |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 1800 Orleans 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 |
|---|---|---|---|
| 1972861383 | NPI | - | NPPES |
| 2012002325 | Other | ANCC | |
| R139099 | Other | MD | MARYLAND BOARD OF NURSING - CRNP-ACUTE CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | R139099 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anne Arundel Medical Center | Annapolis, MD | Hospital |
| Umd Shore Medical Center At Easton | Easton, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Luminis Health Medical Group, Llc | 2860447315 | 465 |
| Entity Name | Luminis Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
| Entity Name | Orthopedic Physicians Of Annapolis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780824615 PECOS PAC ID: 9032269154 Enrollment ID: O20090611000485 |
| Entity Name | Mdics At Bwmc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306131578 PECOS PAC ID: 7315106184 Enrollment ID: O20120314000455 |
| Entity Name | Mdics At Anne Arundel Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427343664 PECOS PAC ID: 1456515519 Enrollment ID: O20120621000282 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Angela Jean Poltrack, CRNP 1800 Orleans St, Johns Hopkins Hospital - Cvsicu, Baltimore, MD 21287-0010 Ph: (410) 955-4826 | Mrs Angela Jean Poltrack, CRNP 1800 Orleans St, Johns Hopkins Hospital - Cvsicu, Baltimore, MD 21287-0010 Ph: (410) 955-4826 |
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 Latasha Thomas, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline Street, Baltimore, MD 21264 Phone: 443-997-0270 Fax: 410-614-1168 | |
Dana Aybout, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments 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 |