Fawn Tienne Manning, DO | |
1838 Greene Tree Rd, Suite 380, Pikesville, MD 21208-6391 | |
(410) 415-5577 | |
(410) 415-6682 |
Full Name | Fawn Tienne Manning |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 28 Years |
Location | 1838 Greene Tree Rd, Pikesville, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568457513 | NPI | - | NPPES |
400260100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | H0059003 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baltimore Medical System, Inc. | 5395653455 | 51 |
Entity Name | Baltimore Medical System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164138152 PECOS PAC ID: 5395653455 Enrollment ID: O20031121000651 |
Entity Name | Family Health Centers Of Baltimore Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205013539 PECOS PAC ID: 2961310651 Enrollment ID: O20040126000215 |
Entity Name | St. Agnes Healthcare, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144250176 PECOS PAC ID: 9830092733 Enrollment ID: O20040128001146 |
Mailing Address | Practice Location Address |
---|---|
Fawn Tienne Manning, DO 2229 E Baltimore St, Baltimore, MD 21231-2002 Ph: (410) 558-3951 | Fawn Tienne Manning, DO 1838 Greene Tree Rd, Suite 380, Pikesville, MD 21208-6391 Ph: (410) 415-5577 |
Carmen Lolita Farrior, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1777 Reisterstown Road, Suite 235, Pikesville, MD 21208 Phone: 410-415-5883 | |
Dr. Ronald Lee Diener, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10 Glencliffe Cir, Pikesville, MD 21208 Phone: 410-296-7090 Fax: 410-296-7090 | |
Dr. Yelena Lubman, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 124 Slade Ave Ste 210, Pikesville, MD 21208 Phone: 443-901-2040 Fax: 443-901-2043 |