Basem Mohamed Elbrolosy, MD | |
1230 Maine St, Poland, ME 04274-7325 | |
(207) 998-4483 | |
(207) 998-2189 |
Full Name | Basem Mohamed Elbrolosy |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 1230 Maine St, Poland, Maine |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326211582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD24059 (Maine) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary's Regional Medical Center | Lewiston, ME | Hospital |
Stephens Memorial Hospital | Norway, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Marys Regional Medical Center | 0042107120 | 186 |
Entity Name | St Marys Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447226584 PECOS PAC ID: 0042107120 Enrollment ID: O20040303000236 |
Mailing Address | Practice Location Address |
---|---|
Basem Mohamed Elbrolosy, MD C/o St Marys Health System - Provider Enrollment, Po Box 7291, Lewiston, ME 04240-7291 Ph: (207) 777-8950 | Basem Mohamed Elbrolosy, MD 1230 Maine St, Poland, ME 04274-7325 Ph: (207) 998-4483 |
Joshua Mark Allen, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 364 Maine St, Poland, ME 04274 Phone: 207-998-2100 Fax: 207-998-5756 | |
Dana Little, Family Medicine Medicare: Medicare Enrolled Practice Location: 364 Maine St, Poland, ME 04274 Phone: 207-998-2100 | |
Dr. Douglas G Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1230 Maine St, Poland, ME 04274 Phone: 207-998-4483 Fax: 207-998-2189 | |
Nathan Raby, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 364 Maine St, Poland, ME 04274 Phone: 207-998-2100 |