Heather Wallick (NPI# 1588908347, PAC ID# 5092969782) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1588908347 |
| PAC ID by PECOS | 5092969782 |
| Professional Enrollment ID | I20141104001513 |
| Full Name | Heather Wallick |
| Organization Legal Name | MANDM BEHAVIORAL HEALTH SOLUTIONS |
| Address |
1406 Crain Hwy S Suite 104 Glen Burnie MD 21061-4086 |
| Phone Number | 4107666624 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1355634437 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1406 Crain Hwy S, Suite 104, Glen Burnie, MD 21061-4086 | 4107666624 | MANDM BEHAVIORAL HEALTH SOLUTIONS |
| Organization Legal Name | MANDM BEHAVIORAL HEALTH SOLUTIONS |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Bryan | Clinical Social Worker | Mandm Behavioral Health Solutions | 1406 Crain Hwy S, Suite 104, Glen Burnie, MD 21061-4086 |
| Bert Nayfack | Psychiatry | Mandm Behavioral Health Solutions | 1406 Crain Hwy S, Suite 104, Glen Burnie, MD 21061-4086 |
| Edith Linville | Nurse Practitioner | Mandm Behavioral Health Solutions | 1406 Crain Hwy S, Suite 104, Glen Burnie, MD 21061-4086 |
| Christine L Rist | Clinical Social Worker | Mandm Behavioral Health Solutions | 1406 Crain Hwy S, Suite 104, Glen Burnie, MD 21061-4086 |
| Janice Doan | Clinical Social Worker | Mandm Behavioral Health Solutions | 1406 Crain Hwy S, Suite 104, Glen Burnie, MD 21061-4086 |
| Hollie Nicole Mills | Clinical Social Worker | Mandm Behavioral Health Solutions | 1406 Crain Hwy S, Suite 104, Glen Burnie, MD 21061-4086 |
| Gretchen Ryle | Nurse Practitioner | Mandm Behavioral Health Solutions | 1406 Crain Hwy S, Suite 104, Glen Burnie, MD 21061-4086 |
| Kassandra A Dickens | Nurse Practitioner | Mandm Behavioral Health Solutions | 1406 Crain Hwy S, Suite 104, Glen Burnie, MD 21061-4086 |
| Street Address |
1406 CRAIN HWY S SUITE 104 |
| City | GLEN BURNIE |
| State | MD |
| Zip | 21061-4086 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel J Essy | Physical Therapy | Atlas Physical Therapy and Associates LLC | 1406 Crain Hwy S, Suite 110, Glen Burnie, MD 21061-4086 |
| Kimberly Bryan | Clinical Social Worker | Mandm Behavioral Health Solutions | 1406 Crain Hwy S, Suite 104, Glen Burnie, MD 21061-4086 |
| Bert Nayfack | Psychiatry | Mandm Behavioral Health Solutions | 1406 Crain Hwy S, Suite 104, Glen Burnie, MD 21061-4086 |
| Megan M Davis | Physical Therapy | Atlas Physical Therapy and Associates LLC | 1406 Crain Hwy S, Suite 110, Glen Burnie, MD 21061-4086 |
| Edith Linville | Nurse Practitioner | Mandm Behavioral Health Solutions | 1406 Crain Hwy S, Suite 104, Glen Burnie, MD 21061-4086 |
| Christine L Rist | Clinical Social Worker | Mandm Behavioral Health Solutions | 1406 Crain Hwy S, Suite 104, Glen Burnie, MD 21061-4086 |
| Janice Doan | Clinical Social Worker | Mandm Behavioral Health Solutions | 1406 Crain Hwy S, Suite 104, Glen Burnie, MD 21061-4086 |
| Hollie Nicole Mills | Clinical Social Worker | Mandm Behavioral Health Solutions | 1406 Crain Hwy S, Suite 104, Glen Burnie, MD 21061-4086 |
| Anita Khandelwal | Internal Medicine | 1406 Crain Hwy S, Suite 106, Glen Burnie, MD 21061-4086 | |
| Laura T Sanner | Physical Therapy | Atlas Physical Therapy and Associates LLC | 1406 Crain Hwy S, Suite 110, Glen Burnie, MD 21061-4086 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deep Hasmukh Dalal | Rheumatology | 1406 B S Crain Hwy 207, Glen Burnie, MD 21061 | |
| Samantha Villanueva | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Chinasa Onyeje | Nurse Practitioner | Minute Clinic LLC | 7095 Baltimore Annapolis Blvd, Glen Burnie, MD 21061-1431 |
| Carmen Negron-wagman | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Leanne Mckoy | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| John Ohlhaver | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Shawn Marie Wallace | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Nadia Koran Krause | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Richard P Campbell | Physician Assistant | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Karen Ann Cousins Brown | Geriatric Medicine | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Find all physicians in zip 21061 | |||
| City | GLEN BURNIE |
| Zip Code | 21061 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GLEN BURNIE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.