Mary Elizabeth Bracken, MD | |
2015 Martins Grant Ct, Crownsville, MD 21032 | |
(410) 721-6353 | |
(410) 721-2071 |
Full Name | Mary Elizabeth Bracken |
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Gender | Female |
Speciality | Internal Medicine |
Location | 2015 Martins Grant Ct, Crownsville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841498680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101046739 (Virginia) | Secondary |
207R00000X | Internal Medicine | D0042596 (Maryland) | Primary |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Mailing Address | Practice Location Address |
---|---|
Mary Elizabeth Bracken, MD 3357 S Wakefield St, Arlington, VA 22206-1718 Ph: (240) 304-0165 | Mary Elizabeth Bracken, MD 2015 Martins Grant Ct, Crownsville, MD 21032 Ph: (410) 721-6353 |
Dr. Robert Jay Stern, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2019 Haverford Dr, Crownsville, MD 21032 Phone: 443-221-1997 | |
Dr. Dariush Liske-doorandish Ii, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1332 Waterbury Rd, Crownsville, MD 21032 Phone: 540-392-4564 | |
Dr. John Peter Serlemitsos, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2033 Penderbrooke Dr, Crownsville, MD 21032 Phone: 443-790-2689 Fax: 443-292-8296 |