| Sean Macdermott, | |
| Malcolm Grow Medical Center, Cardiopulmonary Department/sgomp, Andrews Afb, MD 20762 | |
| (240) 857-8283 | |
| (240) 857-4354 | 
| Full Name | Sean Macdermott | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | Malcolm Grow Medical Center, Andrews Afb, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1326085432 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 12348 (New Hampshire) | 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: O20050422000298 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sean Macdermott, Malcolm Grow Medical Center, Cardiopulmonary Department/sgomp, Andrews Afb, MD 20762 Ph: (240) 857-8283 | Sean Macdermott, Malcolm Grow Medical Center, Cardiopulmonary Department/sgomp, Andrews Afb, MD 20762 Ph: (240) 857-8283 | 
| Jamil Malouf, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1050 W Perimeter Rd, Andrews Afb, MD 20762 Phone: 240-857-8841 | |
| Dr. Gregory Thomas Rehe, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1050 W Perimeter Road, Rheum, Medicine, 79th Mdg, Malcolm Grow Medical Center, Andrews Afb, MD 20762 Phone: 240-857-6045 | |
| Dr. James Earl Cox Jr., MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1050 W Perimeter Rd, 79mdg Sgomi, Andrews Afb, MD 20762 Phone: 240-857-4350 | |
| James A. Fike, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3500 Fetchet Ave, Andrews Afb, MD 20762 Phone: 301-836-8536 Fax: 301-836-7446 |