| Phyllis Cvach Shand, CRNP | |
|
1645 Liberty Rd, Suite 204, Eldersburg, MD 21784-6521 | |
| (410) 795-7737 | |
| (410) 795-2828 |
| Full Name | Phyllis Cvach Shand |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 1645 Liberty Rd, Eldersburg, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710984984 | NPI | - | NPPES |
| 277541700 | Medicaid | MD | |
| 23951400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | R041230 (Maryland) | Primary |
| Entity Name | Lifebridge Primary Care Of Eldersburg Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720404015 PECOS PAC ID: 0345465654 Enrollment ID: O20140630001230 |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis Cvach Shand, CRNP 7001 Hollenberry Rd, Sykesville, MD 21784-7606 Ph: (410) 795-7529 | Phyllis Cvach Shand, CRNP 1645 Liberty Rd, Suite 204, Eldersburg, MD 21784-6521 Ph: (410) 795-7737 |
Nicole Joy Fasulo Geraty, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 Sherryl Ave, Eldersburg, MD 21784 Phone: 443-377-2078 | |
Maximilian Herwig, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5963 Exchange Dr Ste 100, Eldersburg, MD 21784 Phone: 410-549-0900 | |
Claudia Marie Dorsey, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 770 Old Liberty Rd Ste 3, Eldersburg, MD 21784 Phone: 410-970-8480 Fax: 855-576-5073 | |
Ms. Lavon Jeanine Magruder, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5963 Exchange Dr Ste 100, Eldersburg, MD 21784 Phone: 410-549-0900 | |
Mrs. Francesca Juliet Carhart, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5963 Exchange Dr Ste 100, Eldersburg, MD 21784 Phone: 410-549-0900 | |
Angela Harlee, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6040 Sykesville Rd, Eldersburg, MD 21784 Phone: 410-781-4720 | |
Mei Ching Lee, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1645 Liberty Rd Ste 204, Eldersburg, MD 21784 Phone: 410-795-7737 |