Amelia Fonseca Escudero, | |
268 Stillwater Ave, Bangor, ME 04401-3945 | |
(207) 973-6100 | |
Not Available |
Full Name | Amelia Fonseca Escudero |
---|---|
Gender | Female |
Speciality | Psychiatry |
Experience | 23 Years |
Location | 268 Stillwater Ave, Bangor, Maine |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942422399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 225623 (Massachusetts) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD19646 (Maine) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
State Of Maine | 7517875131 | 11 |
Entity Name | Acadia Hospital Corp. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215940523 PECOS PAC ID: 7719878495 Enrollment ID: O20040323000136 |
Entity Name | State Of Maine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699776146 PECOS PAC ID: 7517875131 Enrollment ID: O20040610001611 |
Mailing Address | Practice Location Address |
---|---|
Amelia Fonseca Escudero, 268 Stillwater Ave, Bangor, ME 04401-3945 Ph: (207) 973-6100 | Amelia Fonseca Escudero, 268 Stillwater Ave, Bangor, ME 04401-3945 Ph: (207) 973-6100 |
Judy A Burk, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 656 State St, Dorothea Dix Psychiatric Center, Bangor, ME 04401 Phone: 207-941-4263 Fax: 207-941-4151 | |
Monir Moftakhari Musavi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 268 Stillwater Avenue, Acadia Hospital Corp, Bangor, ME 04401 Phone: 207-973-6100 Fax: 207-973-6109 | |
Thomas N Rusk, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1012 Union St, Bangor, ME 04401 Phone: 207-945-5247 Fax: 207-990-1248 | |
Edward David, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 498 Essex St, Suite 105, Bangor, ME 04401 Phone: 207-947-0558 Fax: 207-947-0344 | |
Dr. Clifford M Singer, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 268 Stillwater Ave, Bangor, ME 04401 Phone: 207-973-6100 | |
Danhong Zhao, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 42 Darling Parke Dr, Bangor, ME 04401 Phone: 773-936-3967 Fax: 925-944-9709 | |
Mrs. Sally Rose Weiss, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 700 Mt Hope Ave, Suite 600, Bangor, ME 04401 Phone: 207-947-2591 Fax: 207-947-2591 |