Lacresha Edwina Mitchener, | |
3001 Hospital Dr, Cheverly, MD 20785-1189 | |
(301) 357-5408 | |
Not Available |
Full Name | Lacresha Edwina Mitchener |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3001 Hospital Dr, Cheverly, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598396293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LC7041 (Maryland) | Primary |
Entity Name | Premier Health Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285017822 PECOS PAC ID: 7618285842 Enrollment ID: O20151008000494 |
Mailing Address | Practice Location Address |
---|---|
Lacresha Edwina Mitchener, 3001 Hospital Dr, Cheverly, MD 20785-1189 Ph: (301) 857-2618 | Lacresha Edwina Mitchener, 3001 Hospital Dr, Cheverly, MD 20785-1189 Ph: (301) 357-5408 |
Miss Sara Anne Mackey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3124 Parkway, Cheverly, MD 20785 Phone: 443-616-5587 | |
Ronald F Bates, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3003 Hospital Dr, Ground Floor, Cheverly, MD 20785 Phone: 301-583-5920 | |
Jeffery Crayton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3003 Hospital Dr, Cheverly, MD 20785 Phone: 301-583-5920 | |
Mrs. Tasha Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6490 Landover Rd, Cheverly, MD 20785 Phone: 301-341-5111 | |
Mary Jeanette Huntley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3002 Hillside Ave, Cheverly, MD 20785 Phone: 240-356-8823 | |
Patrick Gollegly, LGPC, CAC-AD Counselor Medicare: Medicare Enrolled Practice Location: 3003 Hospital Dr, Cheverly, MD 20785 Phone: 301-583-5920 | |
Lisa Rene, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3003 Hospital Dr, Suite 25, Cheverly, MD 20785 Phone: 301-583-7760 |