| Elizabeth Park Tanner, MD | |
|
950 E Swan Creek Rd, Fort Washington, MD 20744-5250 | |
| (301) 373-7900 | |
| (301) 373-6900 |
| Full Name | Elizabeth Park Tanner |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 11 Years |
| Location | 950 E Swan Creek Rd, Fort Washington, 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 |
|---|---|---|---|
| 1083096366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | LP03517 (Rhode Island) | Secondary |
| 207R00000X | Internal Medicine | D91656 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medstar Health Vna, Inc | Calverton, MD | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstar Medical Group - Southern Maryland Llc | 1355667056 | 224 |
| Medstar Medical Group - Southern Maryland Llc | 1355667056 | 224 |
| 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 |
|---|---|
| Elizabeth Park Tanner, MD Po Box 640, Hollywood, MD 20636-0640 Ph: (301) 373-7900 | Elizabeth Park Tanner, MD 950 E Swan Creek Rd, Fort Washington, MD 20744-5250 Ph: (301) 373-7900 |
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: Medicare Enrolled Practice Location: 11711 Livingston Rd, Fort Washington, MD 20744 Phone: 301-203-2232 | |
Dr. Frank M. Ryan, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 11701 Livingston Rd, Suite 103, Fort Washington, MD 20744 Phone: 301-292-7270 Fax: 301-203-0740 | |
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 |