Mrs Keisha R Church, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Accokeek, MD

Mrs Keisha R Church, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Accokeek, Maryland. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Dominion Anesthesia Pllc, Medstar Medical Group Anesthesiology Llc and her current practice location is 1200 Granada St, Accokeek, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 203-6462.

Mrs Keisha R Church is licensed to practice in Maryland (license number R168546) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679801419.

Contact Information

Mrs Keisha R Church, CRNA
1200 Granada St,
Accokeek, MD 20607-3026
(301) 203-6462
(301) 203-0317



Provider's Profile

Full NameMrs Keisha R Church
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience15 Years
Location1200 Granada St, Accokeek, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Keisha R Church graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1679801419
  • Provider Enumeration Date: 12/04/2009
  • Last Update Date: 04/27/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3476680083
  • Enrollment ID: I20100429000740

Medical Identifiers

Medical identifiers for Mrs Keisha R Church such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679801419NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R168546 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Virginia Hospital CenterArlington, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dominion Anesthesia Pllc761886371364
Medstar Medical Group Anesthesiology Llc1052678034456

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Keisha R Church allows following entities to bill medicare on her behalf.
Entity NameDominion Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073554952
PECOS PAC ID: 7618863713
Enrollment ID: O20040305000503

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Entity NameMedstar Medical Group Anesthesiology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528578333
PECOS PAC ID: 1052678034
Enrollment ID: O20171129001837

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Keisha R Church is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Keisha R Church, CRNA
1200 Granada St,
Accokeek, MD 20607-3026

Ph: (301) 203-6462
Mrs Keisha R Church, CRNA
1200 Granada St,
Accokeek, MD 20607-3026

Ph: (301) 203-6462

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Nurse Anesthetist, Certified Registered Nurses in Accokeek, MD


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