| Ms Lori Ann Blake, RN, BC, FNP | |
|
4c North Ave Ste 403, Bel Air, MD 21014-2333 | |
| (443) 567-6320 | |
| (443) 327-4951 |
| Full Name | Ms Lori Ann Blake |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 4c North Ave Ste 403, Bel Air, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255397220 | NPI | - | NPPES |
| 427366802 | Medicaid | MO | |
| 200331470A | Medicaid | KS | |
| 734594 | Medicaid | AZ | |
| 223521800 | Medicaid | MD |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mccoy Medical Group Llc | 6709251176 | 2 |
| Entity Name | Mccoy Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568179612 PECOS PAC ID: 6709251176 Enrollment ID: O20230417002997 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lori Ann Blake, RN, BC, FNP 4c North Ave Ste 403, Bel Air, MD 21014-2333 Ph: (443) 567-6320 | Ms Lori Ann Blake, RN, BC, FNP 4c North Ave Ste 403, Bel Air, MD 21014-2333 Ph: (443) 567-6320 |
Alison Ann Mclaughlin, CRNP-PMH Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 North Ave # 420, Bel Air, MD 21014 Phone: 443-752-9610 | |
Zainab Giwa, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 500 Upper Chesapeake Dr, Bel Air, MD 21014 Phone: 904-372-3943 Fax: 904-212-1618 | |
Arielle Deasel, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 W Macphail Rd Ste 106, Bel Air, MD 21014 Phone: 443-504-4359 | |
Joan Marie Hare, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 580 Marketplace Dr, Bel Air, MD 21014 Phone: 410-375-4136 | |
Tracy Lynn Crose-hamm, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 730 Baltimore Pike, Bel Air, MD 21014 Phone: 410-887-8077 | |
Tiffany D Lopez, MSN, CRNP, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 Upper Chesapeake Dr Ste 301, Bel Air, MD 21014 Phone: 443-643-4300 | |
Sarah Elizabeth Malatesta, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4c North Ave, Bel Air, MD 21014 Phone: 410-449-4955 |