Mrs Keisha R Church, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Accokeek, MD

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Mrs Keisha R Church, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Accokeek, Maryland. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Dominion Anesthesia Pllc and her current practice location is 1200 Granada St, Accokeek, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 203-6462.

Mrs Keisha R Church is licensed to practice in Maryland (license number R168546) 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 1679801419.

Contact Information

Mrs Keisha R Church, CRNA
1200 Granada St,
Accokeek, MD 20607-3026
(301) 203-6462
(301) 203-0317

Map and Direction




Provider's Profile

Full NameMrs Keisha R Church
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience15 Years
Location1200 Granada St, Accokeek, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Keisha R Church graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1679801419
  • Provider Enumeration Date: 12/04/2009
  • Last Update Date: 04/27/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3476680083
  • Enrollment ID: I20100429000740

Medical Identifiers

Medical identifiers for Mrs Keisha R Church such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679801419NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R168546 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Virginia Hospital CenterArlington, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dominion Anesthesia Pllc761886371366

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. Mrs Keisha R Church allows following entities to bill medicare on her behalf.
Entity NameDominion Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073554952
PECOS PAC ID: 7618863713
Enrollment ID: O20040305000503
Entity NameMedstar Medical Group Anesthesiology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528578333
PECOS PAC ID: 1052678034
Enrollment ID: O20171129001837

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. Mrs Keisha R Church 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 AddressPractice Location Address
Mrs Keisha R Church, CRNA
1200 Granada St,
Accokeek, MD 20607-3026

Ph: (301) 203-6462		Mrs Keisha R Church, CRNA
1200 Granada St,
Accokeek, MD 20607-3026

Ph: (301) 203-6462

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Accokeek, MD


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.