Memory Mdlongwa, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Crofton, Maryland. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Medstar Medical Group Anesthesiology Llc and her current practice location is
1681 Brice Ct, Crofton, Maryland. You can reach out to her office (for appointments etc.) via phone at
(317) 698-0405.
Memory Mdlongwa is licensed to practice in Maryland (license number R225465) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275062598.
Provider's Profile
Full Name | Memory Mdlongwa |
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Gender | Female |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 7 Years |
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Location | 1681 Brice Ct, Crofton, Maryland |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Memory Mdlongwa graduated from nursing school in 2017
NPI Data:
- NPI Number: 1275062598
- Provider Enumeration Date: 06/09/2017
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 3971876392
- Enrollment ID: I20170907000625
Medical Identifiers
Medical identifiers for Memory Mdlongwa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275062598 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | R225465 (Maryland) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Medstar Medical Group Anesthesiology Llc | 1052678034 | 438 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Memory Mdlongwa allows following entities to bill medicare on her behalf.
Entity Name | Bel Air Sedation Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215254560 PECOS PAC ID: 7416142831 Enrollment ID: O20101111000423 |
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Entity Name | Maryland Anesthesia & Pain Management Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871928812 PECOS PAC ID: 7719117530 Enrollment ID: O20140224000069 |
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Entity Name | Medstar Medical Group Anesthesiology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528578333 PECOS PAC ID: 1052678034 Enrollment ID: O20171207001966 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Memory Mdlongwa is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Memory Mdlongwa, 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 Ph: (443) 643-1000 | Memory Mdlongwa, 1681 Brice Ct, Crofton, MD 21114-1610 Ph: (317) 698-0405 |
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