Maryanne Yacoub Sourial, DO in Bronx, NY

Maryanne Yacoub Sourial, DO is a medicare enrolled "Internal Medicine - Nephrology" physician in Bronx, New York. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice The Nephrology Group Inc and her current practice location is 3411 Wayne Ave Apt 5h, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 920-5442.

Maryanne Yacoub Sourial is licensed to practice in New York (license number 288330) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1417346321.

Contact Information

	Maryanne Yacoub Sourial, DO
	3411 Wayne Ave Apt 5h, Bronx, NY 10467-2539
	(718) 920-5442
	Not Available

Map and Direction

Physician's Profile

Full Name	Maryanne Yacoub Sourial
Gender	Female
Speciality	Nephrology
Experience	10 Years
Location	3411 Wayne Ave Apt 5h, Bronx, New York
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Maryanne Yacoub Sourial graduated from medical school in 2014

NPI Data:

NPI Number: 1417346321
Provider Enumeration Date: 01/15/2015
Last Update Date: 10/24/2019

Medicare PECOS Information:

PECOS PAC ID: 4284974577
Enrollment ID: I20230926003662

Medical Identifiers

Medical identifiers for Maryanne Yacoub Sourial such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417346321	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	288330 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Health Hanford	Hanford, CA	Hospital
Kaweah Delta Medical Center	Visalia, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Nephrology Group Inc	4688767262	42

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Maryanne Yacoub Sourial allows following entities to bill medicare on her behalf.

Entity Name	The Nephrology Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205906229 PECOS PAC ID: 4688767262 Enrollment ID: O20070912000803

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maryanne Yacoub Sourial is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Maryanne Yacoub Sourial, DO 39 Meadow Lake Dr, Mahwah, NJ 07430-2504 Ph: (201) 888-2698	Maryanne Yacoub Sourial, DO 3411 Wayne Ave Apt 5h, Bronx, NY 10467-2539 Ph: (718) 920-5442

Reviews and Comments

Internal Medicine Doctors in Bronx, NY

Selina Sultana Zaman, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 600 E 233rd St, Bronx, NY 10466 Phone: 718-920-9000
Dr. Jyothi B Kudakandira, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 718-960-1234
Mana Rao, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797
Dr. Keshav Teelucksingh, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797
Tannaz Iranpour Boroujeni, M.D Nephrology Medicare: May Accept Medicare Assignments Practice Location: 600 E 233rd St, Bronx, NY 10466 Phone: 617-840-0110
Heather Root, MD Nephrology Medicare: May Accept Medicare Assignments Practice Location: 111 E 210th St, Bronx, NY 10467 Phone: 718-920-8592 Fax: 718-405-0610
Kohtaro Ooka, Nephrology Medicare: Medicare Enrolled Practice Location: 1825 Eastchester Rd, Bronx, NY 10461 Phone: 844-556-6683

Maryanne Yacoub Sourial, DO - Medicare Nephrology in Bronx, NY