| Roger N Ewonkem, MD | |
|
2480 Llewellyn Ave, Fort Meade, MD 20755-7081 | |
| (301) 677-8949 | |
| Not Available |
| Full Name | Roger N Ewonkem |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 2480 Llewellyn Ave, Fort Meade, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821288440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101244721 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 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: O20050422000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger N Ewonkem, MD 7432 Little River Tpke, Annandale, VA 22003-3013 Ph: (703) 658-7060 | Roger N Ewonkem, MD 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 Ph: (301) 677-8949 |
Dr. Susan Daniela Gumpel, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2480 Llewellyn Ave Ste 5800, Fort Meade, MD 20755 Phone: 301-677-8670 | |
Janelle Alexander-lewis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2480 Llewellyn Ave, Fort Meade, MD 20755 Phone: 301-677-8179 Fax: 301-677-8176 | |
Dr. Douglas Edward Bice, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2480 Llewellyn Ave, Fort Meade, MD 20755 Phone: 301-677-8800 | |
Dr. Derrick Thiel, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Usameddac 2480 Llewellyn Ave, Fort Meade, MD 20755 Phone: 703-696-3942 | |
Dr. Brian Adrian Shneier, MB.BCH Family Medicine Medicare: Medicare Enrolled Practice Location: 2480 Llewellyn Ave, Fort Meade, MD 20755 Phone: 301-677-8800 Fax: 301-677-8499 | |
Dr. Stephanie Marie Smith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2479 5th Street, Fort Meade, MD 20755 Phone: 410-305-5300 | |
Allen D Haight, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2480 Llewellyn Ave, Fort Meade, MD 20755 Phone: 301-677-8850 |