Mrs Tamara Boyd Pottillo, in Lutherville Timonium, MD

Mrs Tamara Boyd Pottillo, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lutherville Timonium, Maryland. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 1301 York Rd Ste 800, Lutherville Timonium, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 376-8728.

Mrs Tamara Boyd Pottillo is licensed to practice in Maryland (license number R197825) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1922717495.

Contact Information

	Mrs Tamara Boyd Pottillo,
	1301 York Rd Ste 800, Lutherville Timonium, MD 21093-6011
	(410) 376-8728
	(410) 862-3774

Map and Direction

Provider's Profile

Full Name	Mrs Tamara Boyd Pottillo
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1301 York Rd Ste 800, Lutherville Timonium, Maryland
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Tamara Boyd Pottillo graduated from nursing school in 2021

NPI Data:

NPI Number: 1922717495
Provider Enumeration Date: 11/23/2022
Last Update Date: 12/13/2025

Medicare PECOS Information:

PECOS PAC ID: 3779923941
Enrollment ID: I20240802002161

Medical Identifiers

Medical identifiers for Mrs Tamara Boyd Pottillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922717495	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	TPAN1705 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R197825 (Maryland)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	L8-0010590 (Delaware)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Tamara Boyd Pottillo allows following entities to bill medicare on her behalf.

Entity Name	Release And Renew Mental Wellness Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972216869 PECOS PAC ID: 6709323181 Enrollment ID: O20240802001452

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tamara Boyd Pottillo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Tamara Boyd Pottillo, 1301 York Rd Ste 800, Lutherville Timonium, MD 21093-6011 Ph: (410) 376-8728	Mrs Tamara Boyd Pottillo, 1301 York Rd Ste 800, Lutherville Timonium, MD 21093-6011 Ph: (410) 376-8728

Reviews and Comments

Nurse Practitioner Nurses in Lutherville Timonium, MD

Marie Dominique Ashen, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10755 Falls Rd, Pavilion 1 Suite 360, Lutherville Timonium, MD 21093 Phone: 410-583-2740 Fax: 410-583-2741
Modinat Oluwatoyin Fagbenro, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 W Padonia Rd Ste C252, Lutherville Timonium, MD 21093 Phone: 410-768-6088 Fax: 410-768-6444
Katherine Stout, DNP, CRNP FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Texas Station Ct, Lutherville Timonium, MD 21093 Phone: 410-828-7417
Ms. Allegra Jacqueline Hamman, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 10753 Falls Rd, Johns Hopkins At Green Spring Suite 315, Lutherville Timonium, MD 21093 Phone: 410-583-2926 Fax: 410-583-2883
Kelly E Alilio, DNP, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Lambeth Bridge Ct, Lutherville Timonium, MD 21093 Phone: 443-306-8077
Susan W Ettinger, MSN,NPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2360 W Joppa Rd, Lutherville Timonium, MD 21093 Phone: 410-847-3535
Kathy Colahar, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 W Padonia Rd Ste C252, Lutherville Timonium, MD 21093 Phone: 410-672-7028

Mrs Tamara Boyd Pottillo, - Medicare Nurse Practitioner in Lutherville Timonium, MD