Dr Thomas J Vanidestine Jr, DC, CCSP | |
336 Mount Hope Ave, Suite 11, Bangor, ME 04401-4236 | |
(207) 942-2800 | |
(207) 990-2362 |
Full Name | Dr Thomas J Vanidestine Jr |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 336 Mount Hope Ave, Bangor, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538108022 | NPI | - | NPPES |
001039 | Other | ME | BLUE CROSS/ANTHEM |
121660000 | Medicaid | ME | |
121660099 | Medicaid | ME | |
5734579 | Other | ME | CIGNA |
5314274 | Other | ME | AETNA |
P00282285 | Other | ME | RAILROAD MEDICARE |
610664 | Other | ME | GREAT WEST/ACN |
68974 | Other | ME | FIRST HEALTH |
MN0080 | Other | ME | HARVARD PILGRIM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CR814 (Maine) | Primary |
Provider Name | Katahdin Valley Health Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376618546 PECOS PAC ID: 4880659903 Enrollment ID: O20041130000688 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas J Vanidestine Jr, DC, CCSP 336 Mount Hope Ave, Suite 11, Bangor, ME 04401-4236 Ph: (207) 942-2800 | Dr Thomas J Vanidestine Jr, DC, CCSP 336 Mount Hope Ave, Suite 11, Bangor, ME 04401-4236 Ph: (207) 942-2800 |
Daniel Scott Robinson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 16 Penn Plz, Suite 22, Bangor, ME 04401 Phone: 207-947-8077 Fax: 207-947-3721 | |
Patricia L Cline, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 444 Stillwater Ave, Ste 206, Bangor, ME 04401 Phone: 207-992-4012 | |
Myerowitz Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1570 Broadway, Bangor, ME 04401 Phone: 207-947-3333 Fax: 207-947-1008 | |
David Harlan Bjork, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 96 Harlow St, Suite 310, Bangor, ME 04401 Phone: 207-262-3210 Fax: 207-433-7284 | |
Dr. Robin William Gooden, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 16 Penn Plz, Ste 22, Bangor, ME 04401 Phone: 207-947-8077 Fax: 207-947-3721 | |
Vanidestine Chiropractic, Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 336 Mount Hope Ave Ste 11, Bangor, ME 04401 Phone: 207-942-2800 Fax: 207-990-2632 | |
Dr. Leo M. Yapsuga, R.PH., D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 292 Buck St, Bangor, ME 04401 Phone: 207-945-5277 Fax: 207-945-5277 |