| 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 | 18 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medstar Southern Maryland Hospital Center | Clinton, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstar Medical Group Ii Llc | 0547413825 | 2998 |
| Entity Name | Medstar Medical Group Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415 |
| 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 | |
Mabinty Alice Kamara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 301-877-4475 | |
Mrs. Usha S Parker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7503 Surratts Road, Clinton, MD 20735 Phone: 301-868-8000 | |
Bronte Angelia Adoremos Lantin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 301-868-8000 | |
Ms. Gwendolyn Renee Ocasio, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 301-868-8000 |