Dr Bryan C Ego-osuala, MD | |
10 Saint Patricks Dr, Waldorf, MD 20603-4527 | |
(301) 373-7900 | |
(301) 373-6900 |
Full Name | Dr Bryan C Ego-osuala |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 19 Years |
Location | 10 Saint Patricks Dr, Waldorf, 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 |
---|---|---|---|
1316070717 | NPI | - | NPPES |
6079386 | Other | CIGNA | |
331216000 | Medicaid | MD | |
NC2120 | Other | SC | MEDICAID - SC |
P01671244 | Other | NC | RAILROAD MEDICARE |
1046720 | Other | SC | WELLCARE OF SC |
1479753 | Other | AETNA/COVENTRY | |
187LA | Other | NC | BCBSNC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 2014-00330 (North Carolina) | Secondary |
207Y00000X | Otolaryngology | D71707 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Md Charles Regional Medical Center | La plata, MD | Hospital |
Medstar Saint Mary's Hospital | Leonardtown, MD | Hospital |
Medstar Southern Maryland Hospital Center | Clinton, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstar Medical Group - Southern Maryland Llc | 1355667056 | 192 |
Medstar Medical Group - Southern Maryland Llc | 1355667056 | 192 |
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 |
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 |
---|---|
Dr Bryan C Ego-osuala, MD 10 Saint Patricks Dr, Waldorf, MD 20603-4527 Ph: (301) 373-7900 | Dr Bryan C Ego-osuala, MD 10 Saint Patricks Dr, Waldorf, MD 20603-4527 Ph: (301) 373-7900 |
Dr. Gary Rogers Mason, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 11355 Pembrooke Square, Suite 108, Waldorf, MD 20603 Phone: 301-645-4419 Fax: 301-645-7006 |