Miss Jeanette Ophelia Mitchell, NURSE PRACTITIONER | |
8337 Cherry Ln, Laurel, MD 20707-4828 | |
(667) 367-8735 | |
(443) 317-2996 |
Full Name | Miss Jeanette Ophelia Mitchell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 24 Years |
Location | 8337 Cherry Ln, Laurel, 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 |
---|---|---|---|
1659597185 | NPI | - | NPPES |
021086200 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R137979 (Maryland) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | R137979 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Exodus Behavioral Health Llc | 9931514247 | 4 |
Entity Name | Paul T. Barbera M.d., P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740555226 PECOS PAC ID: 3375701733 Enrollment ID: O20120215000352 |
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 |
Entity Name | Exodus Behavioral Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013535442 PECOS PAC ID: 9931514247 Enrollment ID: O20210219000046 |
Mailing Address | Practice Location Address |
---|---|
Miss Jeanette Ophelia Mitchell, NURSE PRACTITIONER 577 Wyndholme Way, Baltimore, MD 21229-3290 Ph: (443) 831-1835 | Miss Jeanette Ophelia Mitchell, NURSE PRACTITIONER 8337 Cherry Ln, Laurel, MD 20707-4828 Ph: (667) 367-8735 |
Judith Tangi, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8125 Mallard Shore Dr, Laurel, MD 20724 Phone: 240-838-4012 | |
Ms. Gloria Asiamah Fosu, RN, MSN, PMHMP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14502 Greenview Dr Suit 455, Laurel, MD 20708 Phone: 240-752-4513 | |
Basil E Fomanka, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14201 Oxford Dr, Laurel, MD 20707 Phone: 443-520-8138 | |
Andria Pryce, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9201 Fairlane Pl, Laurel, MD 20708 Phone: 240-701-2838 | |
Mrs. Bodil Lynn Morris, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13801 Belle Chasse Blvd, Unit 211, Laurel, MD 20707 Phone: 407-232-5062 | |
Ms. Florence A Nwana, CRNP-PMH Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13639 Baltimore Ave, Laurel, MD 20707 Phone: 301-604-4830 Fax: 301-604-4929 | |
Making Mpaka, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16305 Gales Ct, Laurel, MD 20707 Phone: 301-404-0726 |