Mariana Ximena Martinez Telleria, MD | |
23 Crossroads Drive, Suite 220, Owings Mills, MD 21117 | |
(410) 581-9200 | |
(410) 551-0842 |
Full Name | Mariana Ximena Martinez Telleria |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 23 Crossroads Drive, Owings Mills, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578129052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | D0097622 (Maryland) | Primary |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
Mailing Address | Practice Location Address |
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Mariana Ximena Martinez Telleria, MD 23 Crossroads Drive, Suite 220, Owings Mills, MD 21117 Ph: (410) 581-9200 | Mariana Ximena Martinez Telleria, MD 23 Crossroads Drive, Suite 220, Owings Mills, MD 21117 Ph: (410) 581-9200 |
Dr. Margery Kates, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 23 Crossroads Dr, Suite 220, Owings Mills, MD 21117 Phone: 410-581-9200 Fax: 410-581-9203 | |
Dr. Sally Elizabeth Sondergaard, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 23 Crossroads Dr, Suite 220, Owings Mills, MD 21117 Phone: 410-581-9200 Fax: 410-581-9203 | |
Dr. Aimee C. Jacobs, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 23 Crossroads Dr, Suite 220, Owings Mills, MD 21117 Phone: 410-581-9200 | |
Dr. Murray Dennis Pearlman, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 23 Crossroads Dr, 220, Owings Mills, MD 21117 Phone: 410-581-9200 Fax: 410-581-9203 | |
Eli Anthony Timoll, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2217 Shaded Brook Drive, Owings Mills, MD 21117 Phone: 410-363-4341 Fax: 410-363-6569 | |
Dr. Jennie Faber, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 23 Crossroads Dr, Suite 220, Owings Mills, MD 21117 Phone: 410-581-9200 Fax: 410-581-9203 |