| Ms Michele Yvette Mcintosh, | |
|
10902 Old Princess Anne Rd, Princess Anne, MD 21853-2940 | |
| (410) 651-4040 | |
| (888) 843-8455 |
| Full Name | Ms Michele Yvette Mcintosh |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 10902 Old Princess Anne Rd, Princess Anne, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578104899 | NPI | - | NPPES |
| 119591300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R161190 (Maryland) | Primary |
| Entity Name | Healthport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154320646 PECOS PAC ID: 2365469947 Enrollment ID: O20051102000426 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
| Entity Name | Privia Care Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164874426 PECOS PAC ID: 3274801139 Enrollment ID: O20170619000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Michele Yvette Mcintosh, Po Box 1978, Salisbury, MD 21802-1978 Ph: (410) 749-1015 | Ms Michele Yvette Mcintosh, 10902 Old Princess Anne Rd, Princess Anne, MD 21853-2940 Ph: (410) 651-4040 |
Ms. Nancy V Lorsong, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Backbone Rd, Charles Drew Student Health Center, Princess Anne, MD 21853 Phone: 410-651-6597 Fax: 410-651-6702 | |
Mr. Charles Wheeler Novak, CRNP-PMH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12145 Elm St, Princess Anne, MD 21853 Phone: 410-651-2204 Fax: 410-651-0790 | |
Ms. Susan Elizabeth Carter, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Backbone Rd, University Of Maryland Eastern Shore Health Center, Princess Anne, MD 21853 Phone: 410-651-6597 Fax: 410-651-6702 | |
Ms. Julie Anne Kinhart, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12145 Elm St, Princess Anne, MD 21853 Phone: 410-651-2204 Fax: 410-651-0790 | |
Brittany Nichole Snoots, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12302 Somerset Ave Ste Ab, Princess Anne, MD 21853 Phone: 410-651-0300 | |
Nancy E Drewer, CRNP-F Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12145 Elm St, Princess Anne, MD 21853 Phone: 410-651-5135 Fax: 410-651-4682 | |
Mrs. Tisa Massey Parsons, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30434 Mount Vernon Rd, Princess Anne, MD 21853 Phone: 410-651-0350 |