Jackie Lynn Nichols, MD, MPH | |
2003 Medical Pkwy, Ste 250, Annapolis, MD 21401-7992 | |
(410) 224-2228 | |
Not Available |
Full Name | Jackie Lynn Nichols |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 21 Years |
Location | 2003 Medical Pkwy, Annapolis, 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 |
---|---|---|---|
1760607774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | D0065876 (Maryland) | Primary |
207V00000X | Obstetrics & Gynecology | MD035751 (District Of Columbia) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Medical Group Llc | 4385682061 | 1223 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
Mailing Address | Practice Location Address |
---|---|
Jackie Lynn Nichols, MD, MPH 1346 N Carolina Ave Ne, Washington, DC 20002-6424 Ph: (202) 543-5576 | Jackie Lynn Nichols, MD, MPH 2003 Medical Pkwy, Ste 250, Annapolis, MD 21401-7992 Ph: (410) 224-2228 |
Richard G. Welch, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2000 Medical Pkwy, Ste 304, Annapolis, MD 21401 Phone: 410-573-9530 Fax: 410-573-9569 | |
Monica B Jones, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2000 Medical Pkwy Ste 200, Annapolis, MD 21401 Phone: 443-481-3493 Fax: 443-481-6705 | |
Mrs. Himja V. Shah, CRNP-OB/GYN Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2000 Medical Pkwy Ste 310, Annapolis, MD 21401 Phone: 410-266-7755 Fax: 410-266-1141 | |
Dr. Joy'el B Ballard, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2000 Medical Pkwy, Ste. 304, Annapolis, MD 21401 Phone: 410-573-9530 Fax: 410-573-9568 | |
Dr. Christine Ajjan Laky, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 185 Harry S Truman Pkwy Ste 120, Annapolis, MD 21401 Phone: 410-224-4442 Fax: 410-224-8898 | |
Margaret Jessica Keith, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2003 Medical Pkwy, Annapolis, MD 21401 Phone: 410-571-9700 | |
Elizabeth T. Greeley, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 820 Bestgate Rd, Suites 2c & 2d, Annapolis, MD 21401 Phone: 410-224-4442 Fax: 410-224-8898 |