Ms Theresa L Dematteo Pugh, MS CRNP - Medicare Nurse Practitioner in Nottingham, MD

Ms Theresa L Dematteo Pugh, MS CRNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Nottingham, Maryland. Her current practice location is 4924 Campbell Blvd, Suite 200, Nottingham, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 442-2300.

Ms Theresa L Dematteo Pugh is licensed to practice in Maryland (license number R076644) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841390713.

Contact Information

Ms Theresa L Dematteo Pugh, MS CRNP
4924 Campbell Blvd, Suite 200,
Nottingham, MD 21236-5908
(443) 442-2300
(443) 442-2360

Map and Direction




Provider's Profile

Full NameMs Theresa L Dematteo Pugh
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location4924 Campbell Blvd, Nottingham, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841390713
  • Provider Enumeration Date: 09/22/2006
  • Last Update Date: 05/09/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3870618879
  • Enrollment ID: I20100914001250

Medical Identifiers

Medical identifiers for Ms Theresa L Dematteo Pugh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841390713NPI-NPPES
622361300MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics R076644 (Maryland)Primary

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. Ms Theresa L Dematteo Pugh allows following entities to bill medicare on her behalf.
Entity NameJohns Hopkins Community Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578598868
PECOS PAC ID: 8325943707
Enrollment ID: O20031220000065

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. Ms Theresa L Dematteo Pugh 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 AddressPractice Location Address
Ms Theresa L Dematteo Pugh, MS CRNP
3100 Wyman Park Dr,
Baltimore, MD 21211-2803

Ph: () -
Ms Theresa L Dematteo Pugh, MS CRNP
4924 Campbell Blvd, Suite 200,
Nottingham, MD 21236-5908

Ph: (443) 442-2300

Reviews and Comments


Nurse Practitioner Nurses in Nottingham, MD

Emily Niles, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8114 Sandpiper Cir, Nottingham, MD 21236
Phone: 410-933-8101    
Keonna L Walton, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5230 Campbell Blvd, Nottingham, MD 21236
Phone: 410-933-9680    
Debrahe K. Rowland, AG-ACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4924 Campbell Blvd, Nottingham, MD 21236
Phone: 443-442-2300    
Mrs. Paula Joy Ison, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9309 Belair Rd Ste D, Nottingham, MD 21236
Phone: 410-505-7952    
Myeisha Furr, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9649 Belair Rd Fl 2, Nottingham, MD 21236
Phone: 410-256-9340    Fax: 410-601-1052
Emma Canto-vaught,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8114 Sandpiper Cir Ste 100, Nottingham, MD 21236
Phone: 410-933-8101    
Mr. Carlos A Romero-escobar Jr., FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8605 Ridgelys Choice Dr, Nottingham, MD 21236
Phone: 855-910-3278    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.