Andrew B Russ, MD | |
24 Miles Center Way, Damariscotta, ME 04543-4047 | |
(207) 563-4250 | |
(207) 563-4246 |
Full Name | Andrew B Russ |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 24 Miles Center Way, Damariscotta, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912993437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 016854 (Maine) | Secondary |
208000000X | Pediatrics | MD16854 (Maine) | Primary |
Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Mailing Address | Practice Location Address |
---|---|
Andrew B Russ, MD 24 Miles Center Way, Damariscotta, ME 04543-4047 Ph: (207) 563-4250 | Andrew B Russ, MD 24 Miles Center Way, Damariscotta, ME 04543-4047 Ph: (207) 563-4250 |
Mrs. Jennifer Griffiths Riddle, ARNP Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 35 Miles St, Damariscotta, ME 04543 Phone: 207-563-4250 | |
James Ross Macmahon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 79 Schooner St., Miles Medical Group (pediatrics) Vanwinkle Medical Bldg, Damariscotta, ME 04543 Phone: 207-563-4780 | |
Richard Carson Mcfaul, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5 Miles Center Way, Damariscotta, ME 04543 Phone: 207-563-4633 | |
Sheila M Carroll, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 24 Miles Center Way, Damariscotta, ME 04543 Phone: 207-563-4250 Fax: 207-563-4246 |