Alexis Anne Bautochka, CRNP | |
41680 Miss Bessie Dr Ste 202, Leonardtown, MD 20650-2964 | |
(301) 475-3240 | |
Not Available |
Full Name | Alexis Anne Bautochka |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 41680 Miss Bessie Dr Ste 202, Leonardtown, 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 |
---|---|---|---|
1376104976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R221925 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Crh Md Management Llc | 2466841028 | 40 |
Crh Md Management Llc | 2466841028 | 40 |
Entity Name | Statcare Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780156455 PECOS PAC ID: 6709893803 Enrollment ID: O20060315000179 |
Entity Name | Statcare Group Iii, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902261308 PECOS PAC ID: 7214221472 Enrollment ID: O20160810002076 |
Entity Name | Crh Md Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598435059 PECOS PAC ID: 2466841028 Enrollment ID: O20211119001771 |
Mailing Address | Practice Location Address |
---|---|
Alexis Anne Bautochka, CRNP 14090 Hg Trueman Rd Ste 1300, Solomons, MD 20688-3151 Ph: (518) 527-9338 | Alexis Anne Bautochka, CRNP 41680 Miss Bessie Dr Ste 202, Leonardtown, MD 20650-2964 Ph: (301) 475-3240 |
Lorenda Beth Smith, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25500 Point Lookout Rd, Leonardtown, MD 20650 Phone: 301-475-8981 | |
Valerie Adriani, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23000 Moakley St Ste 102, Leonardtown, MD 20650 Phone: 301-475-5555 | |
Andrea R Phillips, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23140 Moakley St Ste 4, Leonardtown, MD 20650 Phone: 301-997-1029 Fax: 301-997-1489 | |
Ms. Heather Renee Tennyson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40900 Merchants Ln, Leonardtown, MD 20650 Phone: 301-690-2203 | |
Ms. Lorraine R. Diana, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40900 Merchants Ln, Leonardtown, MD 20650 Phone: 301-997-1315 Fax: 301-997-1110 | |
Meaghan L Lansley, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21580 Peabody St, Leonardtown, MD 20650 Phone: 301-475-4330 | |
Kimberly Ann Cook, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41680 Miss Bessie Dr Ste 102, Leonardtown, MD 20650 Phone: 301-997-1788 Fax: 301-997-1790 |