| Dr Fray Dylan Stewart, MD | |
|
600 N Wolfe St, Harvey 319, Baltimore, MD 21287-0005 | |
| (410) 955-2960 | |
| (410) 502-5314 |
| Full Name | Dr Fray Dylan Stewart |
|---|---|
| Gender | Male |
| Speciality | Surgery - Pediatric Surgery |
| Location | 600 N Wolfe St, Baltimore, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134143498 | NPI | - | NPPES |
| 60645101 | Other | MD | BLUE SHIELD |
| 1701493 | Other | MD | UNITED HLTHCARE |
| 2210485 | Other | MD | UNITED HLTHCARE NATIONAL |
| 252812 | Other | MD | KAISER |
| 061401700 | Medicaid | MD | |
| 0103 | Other | MD | CAREFIRST |
| 2138547 | Other | MD | MDIPA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | D0053844 (Maryland) | Secondary |
| 2086S0120X | Surgery - Pediatric Surgery | D53844 (Maryland) | Primary |
| Entity Name | Westchester Medical Center Advanced Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912131392 PECOS PAC ID: 3173660776 Enrollment ID: O20091031000042 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fray Dylan Stewart, MD 600 N Wolfe St, Harvey 319, Baltimore, MD 21287-0005 Ph: (410) 955-2960 | Dr Fray Dylan Stewart, MD 600 N Wolfe St, Harvey 319, Baltimore, MD 21287-0005 Ph: (410) 955-2960 |
Dr. Sabrina Christine Sopha, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-3580 | |
Dr. Samantha A Wolfe, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4940 Eastern Ave, Baltimore, MD 21224 Phone: 410-550-2370 Fax: 410-955-0035 | |
Dr. Evan Wong, MD, MPH, FRCSC Surgery Medicare: Not Enrolled in Medicare Practice Location: 1800 Orleans St Ste 6107, Baltimore, MD 21287 Phone: 410-955-2244 | |
Georgios Antonios Margonis, MD, PHD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1800 Orleans Street - Tower 110, Baltimore, MD 21287 Phone: 443-440-1103 | |
Bruce Robert Gibson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4940 Eastern Ave, Baltimore, MD 21224 Phone: 410-550-0100 | |
Kenzo Hirose, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-6190 | |
Josue Alvarez Casas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 29 S Greene St Ste 200, Baltimore, MD 21201 Phone: 410-328-5408 |