Mrs Octavia Genise Yancey, CRNP | |
820 Bestgate Rd, Annapolis, MD 21401-3404 | |
(240) 593-1195 | |
(410) 224-2118 |
Full Name | Mrs Octavia Genise Yancey |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 820 Bestgate Rd, Annapolis, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891554846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | R194184 (Maryland) | Primary |
163WM0705X | Registered Nurse - Medical-surgical | R194184 (Maryland) | Secondary |
Entity Name | Anne Arundel Gastroenterology Associates, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245258466 PECOS PAC ID: 1254337850 Enrollment ID: O20061004000317 |
Mailing Address | Practice Location Address |
---|---|
Mrs Octavia Genise Yancey, CRNP 4511 Dr Beans Legacy Cir, Bowie, MD 20720-6385 Ph: (240) 593-1195 | Mrs Octavia Genise Yancey, CRNP 820 Bestgate Rd, Annapolis, MD 21401-3404 Ph: (240) 593-1195 |
Brenda Kay Mathews-vitello, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 116 Defense Hwy, Suite 400, Annapolis, MD 21401 Phone: 410-897-9841 Fax: 410-897-9852 | |
Mrs. Jillian Lynn Preston, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 166 Defense Hwy Ste 101, Annapolis, MD 21401 Phone: 877-461-1564 | |
Alexa Lee St Laurent, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2024 West St Ste 400, Annapolis, MD 21401 Phone: 410-224-7667 Fax: 410-224-7007 | |
Dabney Lipscomb, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2003 Medical Pkwy, Wayson Pavilion, Suite 150, Annapolis, MD 21401 Phone: 443-481-1199 Fax: 443-481-1495 | |
Ms. Stephanie Zwonitzer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Medical Pkwy, Annapolis, MD 21401 Phone: 443-481-1750 | |
Mrs. Hollis Stewart Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 678 Genessee St, Annapolis, MD 21401 Phone: 412-508-7896 | |
Lisa Kristine Butler, MSN, CRNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2002 Medical Pkwy Ste 670, Annapolis, MD 21401 Phone: 443-481-1150 |