Elizabeth S Bower, MD
Individual provider Active NPI Internal Medicine Physician · Marriottsville, MD
NPI 1871552265 · NPPES record last updated Apr 25, 2018
Key facts
- NPI
- 1871552265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- D0055437 (MD)
- Practice address
- 2400 Longstone LN Ste 106
Marriottsville, MD 21104-1532 - Phone
- (410) 480-1895
- Fax
- (410) 480-4955
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Pittsburgh School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Maryland Family Care Inc
Practice addresses (Care Compare)
301 Saint Paul St
Baltimore, MD 21202-2102
Phone (410) 659-0808
Hospital & facility affiliations
- Amedisys Home Health
- Gilchrist Hospice Care, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040507001128 | MD | Practitioner - Internal Medicine | 1658360318 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0055437 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Family Care, Inc. | Internal Medicine | Current |
Accepting new patients |
| Seton Medical Group, Inc | Internal Medicine | Current |
Accepting new patients |
| Charter Internal Medicine, LLC | Internal Medicine | Past |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120
301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930
10700 Charter Dr
Ste 200
Columbia, MD 21044
Phone (410) 715-0108
3290 North Ridge Rd
Ellicott City, MD 21043
Phone (410) 801-2273
2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119
3290 North Ridge Rd
Ste 220
Ellicott City, MD 21043
Phone (410) 801-2273
2400 Longstone Ln
Ste 106
Marriottsville, MD 21104
Phone (410) 480-1895
7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654
10711 Birmingham Way
Woodstock, MD 21163
Phone (410) 480-1895
Interoperability endpoints
- https://api.platform.athenahealth.com/23291/brand/1/csg/1/fhir/r4
- ebower102311@direct.mdmercy.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0055437 | MD | Yes |
Addresses
Primary practice location
2400 Longstone LN Ste 106
Marriottsville, MD 21104-1532
Mailing address
2400 Longstone LN Ste 106
Marriottsville, MD 21104-1532
Phone (410) 480-1895
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 719201100 | Medicaid | MD | |
| 0015 | Other | MD | CAREFIRST-DC |
Other providers in Marriottsville, MD
- Kendra Benesch
- Aubrey Berry
- Victor Joseph Blanchard
- Amanda Blevins
- Laura Boeckner
- Jennifer Broaddus
- Ashley Renee Brown
- Carolyn Burns
- Caring4U
- Michele Krauss Carroll
All providers in Marriottsville, MD · Internal Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.