| Mrs Jill Suzanne Coda, CRNP | |
|
300 S Church St, Middletown, MD 21769-8043 | |
| (301) 371-9000 | |
| (301) 371-8905 |
| Full Name | Mrs Jill Suzanne Coda |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 300 S Church St, Middletown, 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 |
|---|---|---|---|
| 1093286601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP019745 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R225106 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Middletown Valley Family Medicine, P.a. | 9638187107 | 8 |
| Entity Name | Middletown Valley Family Medicine, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700861259 PECOS PAC ID: 9638187107 Enrollment ID: O20060324000123 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jill Suzanne Coda, CRNP Po Box 20, Middletown, MD 21769-0020 Ph: (301) 371-9000 | Mrs Jill Suzanne Coda, CRNP 300 S Church St, Middletown, MD 21769-8043 Ph: (301) 371-9000 |
Jennifer Olajide, APRN, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Middletown Pkwy Unit 202, Middletown, MD 21769 Phone: 443-585-2565 | |
Zachary D Butt, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S Church St, Middletown, MD 21769 Phone: 301-371-9000 Fax: 301-371-8905 | |
Elizabeth Riley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S Church St, Middletown, MD 21769 Phone: 301-371-9000 | |
Amy Gallaway, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S Church St, Middletown, MD 21769 Phone: 301-371-9000 Fax: 301-371-8905 | |
Michele Wilson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7107 Crystal Ct, Middletown, MD 21769 Phone: 240-353-5462 | |
Selina M Jones, FNP-BC, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 W Main St, Middletown, MD 21769 Phone: 888-808-6483 |