Mrs Angela Patrice Pettis, CRNA | |
1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | |
(240) 857-8509 | |
Not Available |
Full Name | Mrs Angela Patrice Pettis |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 1050 W Perimeter Rd, Andrews Afb, 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 |
---|---|---|---|
1649457706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R153416 (Maryland) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 0024169705 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstar Medical Group Anesthesiology Llc | 1052678034 | 438 |
Entity Name | Waldorf Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295199925 PECOS PAC ID: 3173814761 Enrollment ID: O20160629002168 |
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: O20171207001966 |
Mailing Address | Practice Location Address |
---|---|
Mrs Angela Patrice Pettis, CRNA 18 Farmington Rd W, Accokeek, MD 20607-9767 Ph: (301) 292-3959 | Mrs Angela Patrice Pettis, CRNA 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 Ph: (240) 857-8509 |
Lori Lynn Littlejohn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1050 W Perimeter Rd, Andrews Afb, MD 20762 Phone: 240-857-6292 | |
Carmen Arguelles, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1050 W Perimeter Rd, 79 Surgical Squadron, Andrews Afb, MD 20762 Phone: 240-857-5023 |