Corsica River Mental Health Services, Inc.
A Medicare group practice based in Cambridge, MD: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 0941497382), with 10 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0941497382
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MD
- Enrollments
- 1
- Group size
- 9 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20101210000133 | MD | Part B Supplier - Clinic/Group Practice | 1396077749 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Corsica River Mental Health Services, Inc.
- Adult Mental Health Clinic/Center
- Centreville, MD
- NPI 1396077749
-
Corsica River Mental Health Service, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cambridge, MD
- NPI 1154939296
-
Corsica River Mental Health Service, Inc.
- Substance Use Disorder Rehabilitation Clinic/Center
- Federalsburg, MD
- NPI 1437683430
-
Corsica River Mental Health Service, Inc.
- Adult Mental Health Clinic/Center
- Federalsburg, MD
- NPI 1639603012
Practice locations
- Federalsburg, MD1
- Centreville, MD1
- Cambridge, MD1
Clinicians 10
Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (9).
-
Tyler James Corkum, NP
- Psychiatric/Mental Health Nurse Practitioner
- Centreville, MD
- NPI 1285125062
-
Brandy Lynn Dawson Cumberland, CRNP-PMH
- Psychiatric/Mental Health Nurse Practitioner
- Cambridge, MD
- NPI 1497410633
-
Mary Elizabeth Domino, LCSW-C
- Clinical Social Worker
- Centreville, MD
- NPI 1760666424
-
Sara Hayden, DNP, CRNP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Centreville, MD
- NPI 1326620832
-
Kevin Casey McQuiston, LCSW-C
- Clinical Social Worker
- Easton, MD
- NPI 1649358516
-
Andrea Lynn Minerva, LCPC
- Mental Health Counselor
- Cambridge, MD
- NPI 1396377032
-
Laurence John Pezor Jr., M.D.
- Psychiatry Physician
- Denton, MD
- NPI 1427055946
-
Kassandra Trala, LCPC
- Mental Health Counselor
- Centreville, MD
- NPI 1265108203
-
Paula Coulby Turner, LCSW-C
- Clinical Social Worker
- Centreville, MD
- NPI 1447509088
-
Latrell Williams-Elliott, LC16135
- Counselor
- Cambridge, MD
- NPI 1316661671
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.