| Mrs Myrtis Marvell Mccain Agen-davis, PMHNP-BC, FNP-BC | |
|
5411 Old Frederick Rd Ste 2, Baltimore, MD 21229-2126 | |
| (410) 775-6394 | |
| (410) 881-2477 |
| Full Name | Mrs Myrtis Marvell Mccain Agen-davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 5411 Old Frederick Rd Ste 2, Baltimore, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386899961 | NPI | - | NPPES |
| Entity Name | Alegis Care Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144881301 PECOS PAC ID: 3678840519 Enrollment ID: O20191206001772 |
| Entity Name | Evernorth Care Providers - Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174304976 PECOS PAC ID: 7911355532 Enrollment ID: O20240205003588 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Myrtis Marvell Mccain Agen-davis, PMHNP-BC, FNP-BC 5411 Old Frederick Rd Ste 2, Baltimore, MD 21229-2126 Ph: (410) 775-6394 | Mrs Myrtis Marvell Mccain Agen-davis, PMHNP-BC, FNP-BC 5411 Old Frederick Rd Ste 2, Baltimore, MD 21229-2126 Ph: (410) 775-6394 |
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 |