| Sailwinds Medical, LLC | |
|
1000 Goodwill Ave Cambridge MD 21613-2972 | |
| (443) 972-4204 | |
| (443) 733-4435 |
| Full Name | Sailwinds Medical, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Goodwill Ave, Cambridge, Maryland |
| Authorized Official Name and Position | Brandon Mcmullen (PRESIDENT) |
| Authorized Official Contact | 4439724204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sailwinds Medical, LLC 1000 Goodwill Ave Cambridge MD 21613-2972 Ph: (443) 972-4204 | Sailwinds Medical, LLC 1000 Goodwill Ave Cambridge MD 21613-2972 Ph: (443) 972-4204 |
| NPI Number | 1417660606 |
|---|---|
| Provider Enumeration Date | 01/03/2023 |
| Last Update Date | 01/31/2025 |
| Certification Date | 01/31/2025 |
| Medicare PECOS PAC ID | 6901271717 |
|---|---|
| Medicare Enrollment ID | O20230410001511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417660606 | NPI | - | NPPES |
| Provider Name | Mark M Malkus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033286703 PECOS PAC ID: 6901099027 Enrollment ID: I20101021001000 |
| Provider Name | Mary K Seifert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164510178 PECOS PAC ID: 9931194230 Enrollment ID: I20101022000941 |
| Provider Name | Brandon R Mcmullen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588937296 PECOS PAC ID: 0345400412 Enrollment ID: I20130108000086 |
| Provider Name | Keeley D Diggs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316558216 PECOS PAC ID: 0042625741 Enrollment ID: I20210210001188 |
| Provider Name | Peter Lerza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316591647 PECOS PAC ID: 4183956238 Enrollment ID: I20210607000239 |
| Provider Name | Molly Elizabeth Dale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427788470 PECOS PAC ID: 1456705268 Enrollment ID: I20230928000007 |
| Provider Name | Anthony Rosario |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578019014 PECOS PAC ID: 5890075261 Enrollment ID: I20231102000109 |
| Provider Name | Michael Rhodes King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699545848 PECOS PAC ID: 5193165298 Enrollment ID: I20240506001667 |
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