| 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 | 15 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 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: O20130117000347 |
| 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 |