| Dr Stanley J Wisniewski, MD | |
|
8191 Jennifer Ln, 150, Owings, MD 20736-3194 | |
| (443) 964-5159 | |
| (443) 964-5149 |
| Full Name | Dr Stanley J Wisniewski |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 8191 Jennifer Ln, Owings, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205845799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0062090 (Maryland) | Primary |
| 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 Stanley J Wisniewski, MD 3691 Chaneyville Rd, Owings, MD 20736-9134 Ph: (410) 257-0215 | Dr Stanley J Wisniewski, MD 8191 Jennifer Ln, 150, Owings, MD 20736-3194 Ph: (443) 964-5159 |
Dr. Gerald P Sterner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 19 Chesapeake Beach Road East, Owings, MD 20736 Phone: 410-257-3181 Fax: 301-855-2908 | |
Dr. Catherine I Brophy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2025 Chaneyville Rd Ste 200, Owings, MD 20736 Phone: 410-286-3865 Fax: 410-286-8085 | |
Dr. Joyce Lynn Owens, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2025 Chaneyville Rd Ste 200, Owings, MD 20736 Phone: 410-286-3865 Fax: 410-286-8085 |