| Mrs Shelley Deanna Martin, CRNP- FAMILY | |
|
7450 Albert Rd, Brandywine, MD 20613-3035 | |
| (301) 599-0460 | |
| Not Available |
| Full Name | Mrs Shelley Deanna Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 7450 Albert Rd, Brandywine, 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 |
|---|---|---|---|
| 1073236774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R139536 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstar Urgent Care Llc | 9335303155 | 262 |
| Entity Name | Medstar Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902175870 PECOS PAC ID: 9335303155 Enrollment ID: O20120607000236 |
| Entity Name | Greater Baden Medical Service Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912927344 PECOS PAC ID: 4981632650 Enrollment ID: O20221202000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shelley Deanna Martin, CRNP- FAMILY 11214 Mattaponi Rd, Upper Marlboro, MD 20772-8211 Ph: (703) 477-9031 | Mrs Shelley Deanna Martin, CRNP- FAMILY 7450 Albert Rd, Brandywine, MD 20613-3035 Ph: (301) 599-0460 |
Ikechukwu Wilson Nwosu, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7450 Albert Rd Fl 3, Brandywine, MD 20613 Phone: 301-888-2233 Fax: 301-997-1489 | |
Ozichukwu Awusah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8204 Owens Way, Brandywine, MD 20613 Phone: 254-462-2546 | |
Ms. Donna Mcconathy, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7450 Albert Rd Fl 2, Brandywine, MD 20613 Phone: 301-888-2233 Fax: 301-888-9133 | |
Mutiat O. Popoola, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15518 Kennett Square Way, Brandywine, MD 20613 Phone: 240-988-3779 | |
Tamika Maxwell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7704 Matapeake Business Dr Ste 110, Brandywine, MD 20613 Phone: 301-242-5699 Fax: 301-782-2221 | |
Stacie Marie Feor, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7450 Albert Rd Fl 1, Brandywine, MD 20613 Phone: 301-888-2233 |