| Ms Alicia Lajuan Medina, CRNP | |
|
5609 Honeygo Ridge Ct, White Marsh, MD 21162-3406 | |
| (410) 908-8861 | |
| Not Available |
| Full Name | Ms Alicia Lajuan Medina |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 5609 Honeygo Ridge Ct, White Marsh, 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 |
|---|---|---|---|
| 1164856043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R187630 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Qci Behavioral Health Consulting Group, Llc | 3971665969 | 18 |
| Entity Name | Qci Behavioral Health Consulting Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154598308 PECOS PAC ID: 3971665969 Enrollment ID: O20090218000080 |
| Entity Name | Advanced Behavioral Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154799559 PECOS PAC ID: 8022147933 Enrollment ID: O20100602000083 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Alicia Lajuan Medina, CRNP 5609 Honeygo Ridge Ct, White Marsh, MD 21162-3406 Ph: (410) 908-8861 | Ms Alicia Lajuan Medina, CRNP 5609 Honeygo Ridge Ct, White Marsh, MD 21162-3406 Ph: (410) 908-8861 |
Amber Giesel Viel, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5430 Campbell Blvd, Suite 103, White Marsh, MD 21162 Phone: 410-933-9404 Fax: 410-933-9405 | |
Gina Cordial, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5629 Country Farm Rd, White Marsh, MD 21162 Phone: 410-900-6587 | |
Dr. Jennifer Lynne Canapp, AGPCNP-BC, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11315 Holter Rd, White Marsh, MD 21162 Phone: 410-440-1475 | |
Mrs. Nicole Latasha Shell, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 5430 Campbell Blvd Ste 107, White Marsh, MD 21162 Phone: 443-720-3902 Fax: 443-720-3916 | |
Oben Gladys Bessong, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11709 Philadelphia Rd, White Marsh, MD 21162 Phone: 410-947-3052 | |
Mrs. Chinyere Delicia Umezurike, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10513 Vincent Rd, White Marsh, MD 21162 Phone: 410-335-3657 |