Maryanne Yacoub Sourial, DO - Medicare Nephrology 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



Physician's Profile

Full NameMaryanne Yacoub Sourial
GenderFemale
SpecialityNephrology
Experience10 Years
Location3411 Wayne Ave Apt 5h, Bronx, New York
Accepts Medicare AssignmentsMay 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.
IdentifierTypeStateIssuer
1417346321NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 288330 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaweah Delta Medical CenterVisalia, CAHospital
Adventist Health HanfordHanford, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Nephrology Group Inc468876726242

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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 NameThe Nephrology Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205906229
PECOS PAC ID: 4688767262
Enrollment ID: O20070912000803

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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 AddressPractice 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

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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
Benjamin Tuttle Hayes, MD
Nephrology
Medicare: May Accept Medicare Assignments
Practice Location: 305 E 161st St, Bronx, NY 10451
Phone: 718-579-2500    Fax: 718-579-2599

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