| Maria Teresa Elizalde, CRNP | |
|
9 Saint Paul St Ste 3, Boonsboro, MD 21713-1334 | |
| (301) 432-6897 | |
| (301) 432-6298 |
| Full Name | Maria Teresa Elizalde |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 28 Years |
| Location | 9 Saint Paul St Ste 3, Boonsboro, 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 |
|---|---|---|---|
| 1538120373 | NPI | - | NPPES |
| 544300800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R100650 (Maryland) | Primary |
| 363LF0000X | Nurse Practitioner - Family | R100650 (Maryland) | Secondary |
| Entity Name | South Mountain Community Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932388493 PECOS PAC ID: 6709843485 Enrollment ID: O20041214000808 |
| Entity Name | Tracey Elizalde Fnp-bc Pmhnp-bc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720828320 PECOS PAC ID: 0244777662 Enrollment ID: O20240802003269 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Teresa Elizalde, CRNP 9 Saint Paul St Ste 3, Boonsboro, MD 21713-1334 Ph: (301) 432-6897 | Maria Teresa Elizalde, CRNP 9 Saint Paul St Ste 3, Boonsboro, MD 21713-1334 Ph: (301) 432-6897 |
Rebecca Targoff, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Saint Paul St, 2nd Floor, Boonsboro, MD 21713 Phone: 301-432-6897 | |
Angel Marie Medina, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20311 Lappans Rd Ste 100, Boonsboro, MD 21713 Phone: 301-799-1098 | |
Meghan Lindsay Runey, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8504 Mapleville Rd, Boonsboro, MD 21713 Phone: 301-733-9067 |