Jacqueline C Mitchell, CRNA | |
7503 Surratts Rd, Clinton, MD 20735-3358 | |
(301) 870-7001 | |
(301) 870-6697 |
Full Name | Jacqueline C Mitchell |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 7503 Surratts Rd, Clinton, 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 |
---|---|---|---|
1295903508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R155028 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstar Medical Group Anesthesiology Llc | 1052678034 | 438 |
Entity Name | Medstar Medical Group Anesthesiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528578333 PECOS PAC ID: 1052678034 Enrollment ID: O20171129001837 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline C Mitchell, CRNA 7503 Surratts Rd, Clinton, MD 20735-3358 Ph: (301) 870-7001 | Jacqueline C Mitchell, CRNA 7503 Surratts Rd, Clinton, MD 20735-3358 Ph: (301) 870-7001 |
David Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 7501 Surratts Rd, 208b, Clinton, MD 20735 Phone: 301-877-1570 | |
Rui Hong, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 301-235-9078 | |
Mrs. Usha S Parker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7503 Surratts Road, Clinton, MD 20735 Phone: 301-868-8000 | |
Ms. Gwendolyn Renee Ocasio, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 301-868-8000 | |
Ernestine Augusta Kaloko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7503 Surratts Road, Clinton, MD 20735 Phone: 301-870-7001 Fax: 301-870-6697 | |
Anna Pavlovna Sommersdorf, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 301-868-8000 |