| Memory Mdlongwa, | |
|
1681 Brice Ct, Crofton, MD 21114-1610 | |
| (317) 698-0405 | |
| (317) 698-0405 |
| Full Name | Memory Mdlongwa |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 1681 Brice Ct, Crofton, Maryland |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275062598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R225465 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johns Hopkins Bayview Medical Center | Baltimore, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Johns Hopkins University | 8921903147 | 2886 |
| Entity Name | Johns Hopkins University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
| Entity Name | Bel Air Sedation LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215254560 PECOS PAC ID: 7416142831 Enrollment ID: O20101111000423 |
| 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: O20130117000347 |
| Entity Name | Maryland Anesthesia & Pain Management Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871928812 PECOS PAC ID: 7719117530 Enrollment ID: O20140224000069 |
| 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 |
|---|---|
| Memory Mdlongwa, 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Memory Mdlongwa, 1681 Brice Ct, Crofton, MD 21114-1610 Ph: (317) 698-0405 |