| Dr Mariaileen Sourwine, MD | |
|
277 Peninsula Farm Rd Ste I, Arnold, MD 21012-1018 | |
| (410) 989-8833 | |
| (410) 975-5641 |
| Full Name | Dr Mariaileen Sourwine |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 17 Years |
| Location | 277 Peninsula Farm Rd Ste I, Arnold, 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 |
|---|---|---|---|
| 1528227378 | NPI | - | NPPES |
| D72591 | Other | MD | MARYLAND STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D72591 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anne Arundel Medical Center | Annapolis, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Care Center Llc | 3274801139 | 251 |
| Privia Medical Group, Llc | 4385682061 | 1264 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
| Entity Name | Privia Care Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164874426 PECOS PAC ID: 3274801139 Enrollment ID: O20170619000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mariaileen Sourwine, MD 277 Peninsula Farm Rd Ste I, Arnold, MD 21012-1018 Ph: (410) 989-8833 | Dr Mariaileen Sourwine, MD 277 Peninsula Farm Rd Ste I, Arnold, MD 21012-1018 Ph: (410) 989-8833 |
Dr. Charles J. Cattano, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1017 Stonington Dr, Arnold, MD 21012 Phone: 410-353-3374 Fax: 410-349-3447 | |
Dr. David Lloyd Greenburg, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 83 Church Rd, Arnold, MD 21012 Phone: 410-757-2778 Fax: 410-757-0632 | |
Akber Ahmad, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1509 Ritchie Hwy, Arnold, MD 21012 Phone: 410-757-7600 Fax: 410-626-8043 | |
Courtney Alexandra Milne-krohn, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 277 Peninsula Farm Rd Ste K&l, Arnold, MD 21012 Phone: 410-989-8833 Fax: 410-975-5641 |