| Teisha St Rose, | |
|
1050 W Perimeter Rd, Andrews Air Force Base, MD 20762-6601 | |
| (240) 857-5911 | |
| Not Available |
| Full Name | Teisha St Rose |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1050 W Perimeter Rd, Andrews Air Force Base, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316378896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN.328985 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024171634 (Virginia) | Primary |
| Entity Name | American Anesthesiology Of Virginia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20031120000429 |
| Entity Name | Corridor Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720053887 PECOS PAC ID: 0941231153 Enrollment ID: O20050827000142 |
| Entity Name | Columbia Outpatient Sedation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588921225 PECOS PAC ID: 3476718792 Enrollment ID: O20170128000015 |
| Entity Name | Potomac Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225781297 PECOS PAC ID: 7416343728 Enrollment ID: O20220413000036 |
| Mailing Address | Practice Location Address |
|---|---|
| Teisha St Rose, 13842 Rembrandt Way, Chantilly, VA 20151-3255 Ph: () - | Teisha St Rose, 1050 W Perimeter Rd, Andrews Air Force Base, MD 20762-6601 Ph: (240) 857-5911 |
Mr. Matthew Robert Uber, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1050 W Perimeter Rd, Andrews Air Force Base, MD 20762 Phone: 937-684-1009 |