ELISSA MCINTOSH PHD
NPI 1265003214
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since July 09, 2021PECOS EnrolledAccepts Medicare Assignment
600 N WOLFE ST, BALTIMORE, MD 21287(410) 955-3268 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elissa Mcintosh Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISSA MCINTOSH PHD (NPI 1265003214) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265003214
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELISSA MCINTOSHCredential: PHD
Location Address600 N WOLFE STBaltimore, MD 21287-0005
Mailing Address3402 Fait AveBaltimore, MD 21224-4309
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 9, 2021
NPPES CertifiedJuly 9, 2021
NPI 1265003214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

600 N WOLFE ST, Baltimore, MD 21287

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elissa Mcintosh Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779928536
PECOS Enrollment IDI20240302000179
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
600 N WOLFE ST, WEINBERG BUILDING ROOM 1123
BALTIMORE, MD 21287
Nurse Anesthetist, Certified Registered
600 N WOLFE ST, BLALOCK 1415
BALTIMORE, MD 21287
Radiology (Diagnostic Radiology)
600 N WOLFE ST
BALTIMORE, MD 21287
Nurse Practitioner (Acute Care)
600 N WOLFE ST
BALTIMORE, MD 21287
Obstetrics & Gynecology
600 N WOLFE ST
BALTIMORE, MD 21287
Pharmacist (Pharmacotherapy)
600 N WOLFE ST
BALTIMORE, MD 21287
Psychiatry & Neurology (Neurology)
600 N WOLFE ST
BALTIMORE, MD 21287
Obstetrics & Gynecology
600 N WOLFE ST
BALTIMORE, MD 21287

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265003214, enumerated as an "individual" on July 09, 2021.

The provider is located at 600 N WOLFE ST BALTIMORE, MD 21287 and the phone number is (410) 955-3268.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. Please consult your insurance carrier or call the provider to verify.