| Sailwinds Medical, Llc | |
|
1000 Goodwill Ave Cambridge MD 21613-2972 | |
| (443) 972-4204 | |
| (443) 733-4435 |
| Full Name | Sailwinds Medical, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Goodwill Ave, Cambridge, Maryland |
| Authorized Official Name and Position | Brandon Mcmullen (PRESIDENT) |
| Authorized Official Contact | 4439724204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sailwinds Medical, Llc 1000 Goodwill Ave Cambridge MD 21613-2972 Ph: (443) 972-4204 | Sailwinds Medical, Llc 1000 Goodwill Ave Cambridge MD 21613-2972 Ph: (443) 972-4204 |
| NPI Number | 1417660606 |
|---|---|
| Provider Enumeration Date | 01/03/2023 |
| Last Update Date | 08/09/2023 |
| Medicare PECOS PAC ID | 6901271717 |
|---|---|
| Medicare Enrollment ID | O20230410001511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417660606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark M Malkus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033286703 PECOS PAC ID: 6901099027 Enrollment ID: I20101021001000 |
| Provider Name | Mary K Seifert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164510178 PECOS PAC ID: 9931194230 Enrollment ID: I20101022000941 |
| Provider Name | Peter Lerza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316591647 PECOS PAC ID: 4183956238 Enrollment ID: I20210607000239 |
| Provider Name | Molly Elizabeth Dale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427788470 PECOS PAC ID: 1456705268 Enrollment ID: I20230928000007 |
| Provider Name | Michael Rhodes King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699545848 PECOS PAC ID: 5193165298 Enrollment ID: I20240506001667 |
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