| Nicole Marie Diodato, CRNP | |
|
306 W Redwood St Ste 201, Baltimore, MD 21201-1708 | |
| (443) 806-8858 | |
| (800) 794-7922 |
| Full Name | Nicole Marie Diodato |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 306 W Redwood St Ste 201, Baltimore, 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 |
|---|---|---|---|
| 1033786363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R165336 (Maryland) | Primary |
| 363L00000X | Nurse Practitioner | R165336 (Maryland) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Wellness Healthcare | 1052688389 | 7 |
| Matclinic Physicians Practice Group Llc | 3274804349 | 22 |
| Matclinic Physicians Practice Group Llc | 3274804349 | 22 |
| Entity Name | Aspire Wellness Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780971630 PECOS PAC ID: 2961685706 Enrollment ID: O20110331000650 |
| Entity Name | Premier Wellness Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376087635 PECOS PAC ID: 1052688389 Enrollment ID: O20170517000801 |
| Entity Name | Matclinic Physicians Practice Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104375294 PECOS PAC ID: 3274804349 Enrollment ID: O20170808001490 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Diodato, CRNP 103 N Main St, Bel Air, MD 21014-3539 Ph: (888) 333-1345 | Nicole Marie Diodato, CRNP 306 W Redwood St Ste 201, Baltimore, MD 21201-1708 Ph: (443) 806-8858 |
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 |