| Michael J Mulhearn, CRNA | |
|
100 Hospital Rd, Prince Frederick, MD 20678-4017 | |
| (410) 535-8295 | |
| Not Available |
| Full Name | Michael J Mulhearn |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 100 Hospital Rd, Prince Frederick, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437127115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R163983 (Maryland) | Primary |
| 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 |
| Entity Name | Anesthesia Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871548156 PECOS PAC ID: 4587559026 Enrollment ID: O20180522001908 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Mulhearn, CRNA 8601 Kip Dr, Owings, MD 20736-9760 Ph: (410) 535-8295 | Michael J Mulhearn, CRNA 100 Hospital Rd, Prince Frederick, MD 20678-4017 Ph: (410) 535-8295 |
Mr. Luis Antonio Velazquez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Rd, Prince Frederick, MD 20678 Phone: 410-635-4000 | |
Elias Ngang Warah, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Rd, Prince Frederick, MD 20678 Phone: 410-535-4000 | |
Jeffrey E Grand, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Rd, Prince Frederick, MD 20678 Phone: 410-535-8295 Fax: 410-414-4788 | |
Anne M Swope, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Rd, Prince Frederick, MD 20678 Phone: 410-535-8295 Fax: 410-414-4788 | |
Mrs. Nastassia Morgan Hawkins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Rd, Department Of Anesthesia, Prince Frederick, MD 20678 Phone: 301-233-2013 | |
Victoria M Marino, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Rd, Prince Frederick, MD 20678 Phone: 410-535-8295 Fax: 410-414-4788 |