Ji Yon Kwon, MD | |
2400 Longstone Ln Ste 106, Marriottsville, MD 21104-1532 | |
(410) 480-1895 | |
(410) 480-4955 |
Full Name | Ji Yon Kwon |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 18 Years |
Location | 2400 Longstone Ln Ste 106, Marriottsville, 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 |
---|---|---|---|
1992145460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D81315 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Maryland Family Care Inc | 5092629394 | 127 |
Seton Medical Group Inc | 7416037924 | 74 |
Entity Name | Maryland Family Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718256 PECOS PAC ID: 5092629394 Enrollment ID: O20031119000273 |
Entity Name | Seton Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144409194 PECOS PAC ID: 7416037924 Enrollment ID: O20080122000384 |
Mailing Address | Practice Location Address |
---|---|
Ji Yon Kwon, MD 2400 Longstone Ln Ste 106, Marriottsville, MD 21104-1532 Ph: (410) 480-1895 | Ji Yon Kwon, MD 2400 Longstone Ln Ste 106, Marriottsville, MD 21104-1532 Ph: (410) 480-1895 |
Randal Paul Riesett, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2470 Longstone Ln Ste I, Marriottsville, MD 21104 Phone: 410-910-2300 Fax: 410-740-9134 | |
Jonathan Scott Fish, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2470 Longstone Ln Ste I, Marriottsville, MD 21104 Phone: 410-910-2300 Fax: 410-740-9134 | |
Elizabeth S Bower, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Longstone Ln Ste 106, Marriottsville, MD 21104 Phone: 410-480-1895 Fax: 410-480-4955 |