| Tammy Fusilier, CRNP | |
|
173 Saint Patricks Dr Ste 104, Waldorf, MD 20603-5530 | |
| (240) 729-6250 | |
| (949) 695-4106 |
| Full Name | Tammy Fusilier |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 173 Saint Patricks Dr Ste 104, Waldorf, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366096034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | R215486 (Maryland) | Primary |
| Entity Name | Southern Maryland Primary Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831386630 PECOS PAC ID: 9335321694 Enrollment ID: O20110308000125 |
| Entity Name | Ahanna Health And Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891559530 PECOS PAC ID: 0244679074 Enrollment ID: O20240412002907 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Fusilier, CRNP 173 Saint Patricks Dr Ste 104, Waldorf, MD 20603-5530 Ph: (240) 729-6250 | Tammy Fusilier, CRNP 173 Saint Patricks Dr Ste 104, Waldorf, MD 20603-5530 Ph: (240) 729-6250 |
Mr. Moenil Patel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Patricks Dr, Waldorf, MD 20603 Phone: 301-373-7900 Fax: 301-373-6900 | |
Ms. Gloria Alice Johnston, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Post Office Rd Ste 302, Waldorf, MD 20602 Phone: 240-353-2516 Fax: 240-448-8893 | |
Vanessa Wansel, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2193 Everett Ct, Waldorf, MD 20601 Phone: 301-535-8457 | |
Emily Rosa Odenwald, MSN, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 173 Saint Patricks Dr Ste 104, Waldorf, MD 20603 Phone: 888-731-8994 | |
Ayanna Riley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11610 Lewisham Pl Apt 305, Waldorf, MD 20602 Phone: 201-667-8892 | |
Dawnette Gaylene Campbell, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10542 Black Pine Ln, Waldorf, MD 20603 Phone: 301-537-3642 | |
Queen K Iji, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3070 Crain Hwy, Waldorf, MD 20601 Phone: 301-645-3556 |