| Stacy Ellen Vermillion, FNP-C | |
|
3 Byrkit Dr, Williamsport, MD 21795-1171 | |
| (301) 582-1150 | |
| (301) 582-0905 |
| Full Name | Stacy Ellen Vermillion |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3 Byrkit Dr, Williamsport, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386477008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AC006956 (Maryland) | Primary |
| 163W00000X | Registered Nurse | R243153 (Maryland) | Secondary |
| Entity Name | Medical Practices Of Antietam, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558430843 PECOS PAC ID: 2567353865 Enrollment ID: O20040324001019 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Ellen Vermillion, FNP-C 138 Achilla Ter, Martinsburg, WV 25404-3464 Ph: (240) 344-2828 | Stacy Ellen Vermillion, FNP-C 3 Byrkit Dr, Williamsport, MD 21795-1171 Ph: (301) 582-1150 |
Sarah Nicole Fiedler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16305 Elliott Pkwy, Williamsport, MD 21795 Phone: 240-313-3818 Fax: 240-673-3823 | |
Mrs. Hillary Theresa Blank, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Byrkit Dr, Williamsport, MD 21795 Phone: 301-582-1150 | |
Mr. Joseph Love, CRNP-PMH, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10210 Governor Lane Blvd Unit 2005, Williamsport, MD 21795 Phone: 240-366-1132 | |
Samantha Biser, CRNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10212 Governor Lane Blvd Unit 1006, Williamsport, MD 21795 Phone: 240-415-8901 |