| Dr Frank M Ryan, MD | |
|
11701 Livingston Rd, Suite 103, Fort Washington, MD 20744-5104 | |
| (301) 292-7270 | |
| (301) 203-0740 |
| Full Name | Dr Frank M Ryan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 11701 Livingston Rd, Fort Washington, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427016591 | NPI | - | NPPES |
| 0400752 | Other | MD | EVERCARE |
| 0780385 | Other | MH | AETNA US HEALTHCARE |
| 1417045013 | Other | MH | CIGNA |
| 9711 | Other | MD | KAISER |
| 0400048 | Other | MD | UNTD HLTHC AMERI-CHOICE |
| 25970007 | Other | DC | BCBSNCA |
| 521973185 | Other | MD | PHCS |
| 26667100 | Medicaid | DC | |
| 498199 | Other | MD | NCPPO |
| 4053590 | Other | MD | AETNA |
| 42021409 | Other | MD | BCBS OF MARYLAND |
| 02133000000 | Other | MH | PREFERRED HEALTH |
| 256066 | Other | MD | MAMSI/ALLIANCE |
| 521973185 | Other | MD | FIDELITY PMG |
| 521973185 | Other | MD | UNITED HEALTHCARE |
| 973631000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0019431 (Maryland) | Primary |
| Entity Name | Medstar Medical Group - Southern Maryland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831592211 PECOS PAC ID: 1355667056 Enrollment ID: O20150312000328 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Frank M Ryan, MD 12805 Lost Lake Cir, Fort Washington, MD 20744-6307 Ph: () - | Dr Frank M Ryan, MD 11701 Livingston Rd, Suite 103, Fort Washington, MD 20744-5104 Ph: (301) 292-7270 |
Elizabeth Park Tanner, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 950 E Swan Creek Rd, Fort Washington, MD 20744 Phone: 301-373-7900 Fax: 301-373-6900 | |
Thomas P Gage, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 12400 Hatton Point Rd, Fort Washington, MD 20744 Phone: 301-292-6239 | |
Dr. Deidra L. Varner, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11701 Livingston Rd, Suite 203, Fort Washington, MD 20744 Phone: 301-292-7270 Fax: 301-203-0740 | |
Dr. Amir Mirzaalikhani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11711 Livingston Rd, Fort Washington, MD 20744 Phone: 301-203-2232 | |
Dr. Samuel Kleiman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11711 Livingston Rd, Fort Washington, MD 20744 Phone: 301-203-2232 | |
Jose Luis Puebla-tarilonte, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 12004 Autumnwood Ln, Fort Washington, MD 20744 Phone: 301-203-1543 |