MEDICARE: AMERICOAST MARYLAND LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)	D01734	MD
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
3	332BX2000X	Oxygen Equipment & Supplies (DME)	R2267	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154434819
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICOAST MARYLAND LLC

Provider Business Mailing Address
First Line	:	555 E NORTH LN STE 5075
Second Line	:
City	:	CONSHOHOCKEN
State	:	PA
Zip	:	19428-2490
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1310 INNOVATION ST STE H-L
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-2179
Country	:	US
Telephone Number	:	410-202-2784
Fax Number	:	410-918-0633

Authorized Official
Title or Position	:	CCO
Name	:	WENDY RUSSALESI
Credential	:
Telephone Number	:	484-246-9499

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	12/12/2025

Similar Medicare Providers

1689343519 — UNIVERSITY OF MARYLAND MEDICAL REGIONAL PROFESSIONAL SERVICES, LLC
Practice Location Address:

1310 INNOVATION ST STE P&Q
MIDDLE RIVER, MD
21220-2179

Practice Phone: 410-616-1401
Practice Fax: 410-686-6915

1790949311 — MR. TODD WILLIAM MARTINEZ L.M.T.
Practice Location Address:

815 RIVER ST
PAYETTE, ID
83661-2179

Practice Phone: 208-642-8859
Practice Fax:

1255765780 — NATALIE LYNN GILLESPIE PHARMD
Practice Location Address:

1580 VALLEY RIVER DR STE 120
EUGENE, OR
97401-2179

Practice Phone: 541-242-4016
Practice Fax:

1578992657 — AMBER HARDING
Practice Location Address:

1580 VALLEY RIVER DR STE 290
EUGENE, OR
97401-2179

Practice Phone: 541-904-5216
Practice Fax:

1295348829 — MRS. JUSTINA AMAKA ARIZE NP
Practice Location Address:

2113 RIVER CANYON LN
GARLAND, TX
75041-2179

Practice Phone: 214-735-5292
Practice Fax:

1992661490 — AMINA ESSAKI
Practice Location Address:

9824 MATZON RD
MIDDLE RIVER, MD
21220-1723

Practice Phone: 443-844-4260
Practice Fax:

Directions to “AMERICOAST MARYLAND LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.