| Mrs Katherine Lynn Selby, APRN | |
|
137 Mitchells Chance Rd, Edgewater, MD 21037-2787 | |
| (410) 955-5000 | |
| Not Available |
| Full Name | Mrs Katherine Lynn Selby |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 137 Mitchells Chance Rd, Edgewater, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538403514 | NPI | - | NPPES |
| 143386 | Other | KY | SIHO - NCMA |
| 7100227850 | Medicaid | KY | |
| 50044934 | Other | KY | PASSPORT - NCMA |
| 201130600 | Medicaid | IN | |
| 000000797018 | Other | KY | ANTHEM - NCMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AC006945 (Maryland) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 3007745 (Kentucky) | Secondary |
| Entity Name | Community Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306983762 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Katherine Lynn Selby, APRN 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: () - | Mrs Katherine Lynn Selby, APRN 137 Mitchells Chance Rd, Edgewater, MD 21037-2787 Ph: (410) 955-5000 |
Samantha Marie Plant Rose, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 224 Mayo Rd Ste A, Edgewater, MD 21037 Phone: 410-956-6302 Fax: 410-956-6637 | |
Marylyn Ezenyi, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3025 Solomons Island Rd, Edgewater, MD 21037 Phone: 410-798-8715 | |
Perpetua Anthony, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Mayo Rd, Suite 201, Edgewater, MD 21037 Phone: 410-956-6800 | |
Linet Kandie, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3025 Solomons Island Rd, Edgewater, MD 21037 Phone: 410-798-8715 Fax: 410-798-8730 | |
Caroline Shirima, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Mayo Rd Ste 201, Edgewater, MD 21037 Phone: 410-956-6800 | |
Ms. Lally Anne Heffner, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2303 Noblewood Rd, Edgewater, MD 21037 Phone: 301-529-1471 | |
Ursula Rocha, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 858 Clamshell Ct, Edgewater, MD 21037 Phone: 910-381-8323 |