| Ms Chante Carroll, AG-ACNP-BC | |
| 
					312 Martin Luther King Jr Blvd Ste 102, Baltimore, MD 21201-1221  | |
| (410) 777-8971 | |
| (877) 595-7180 | 
| Full Name | Ms Chante Carroll | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Acute Care | 
| Location | 312 Martin Luther King Jr Blvd Ste 102, 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 | 
|---|---|---|---|
| 1730899840 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | R191443 (Maryland) | Primary | 
| Entity Name | Center For Pain Management, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1962463265 PECOS PAC ID: 0547246555 Enrollment ID: O20040629000496  | 
| Entity Name | Ideal Pain Management Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154802874 PECOS PAC ID: 0446502835 Enrollment ID: O20181012001752  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Chante Carroll, AG-ACNP-BC 1234 Pine Heights Ave, Baltimore, MD 21229-5132 Ph: (410) 925-0990  | Ms Chante Carroll, AG-ACNP-BC 312 Martin Luther King Jr Blvd Ste 102, Baltimore, MD 21201-1221 Ph: (410) 777-8971  | 
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: Medicare Enrolled 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  |