Brad Cushing, MD | |
887 Congress St., Portland, ME 04102 | |
(207) 774-2381 | |
Not Available |
Full Name | Brad Cushing |
---|---|
Gender | Male |
Speciality | Surgery - Trauma Surgery |
Location | 887 Congress St., Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184718694 | NPI | - | NPPES |
290140099 | Medicaid | ME | |
30010638 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0127X | Surgery - Trauma Surgery | 014348 (Maine) | Primary |
2086S0102X | Surgery - Surgical Critical Care | 014348 (Maine) | Secondary |
Entity Name | Maine Medical Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285738310 PECOS PAC ID: 9335043967 Enrollment ID: O20040525000396 |
Mailing Address | Practice Location Address |
---|---|
Brad Cushing, MD 301 Us Route 1, Building C, Scarborough, ME 04074-7609 Ph: (207) 396-8600 | Brad Cushing, MD 887 Congress St., Portland, ME 04102 Ph: (207) 774-2381 |
Virginia A Eddy, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 887 Congress St., Portland, ME 04102 Phone: 207-774-2311 | |
Leslie S Wu, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St, Suite 400, Portland, ME 04102 Phone: 207-774-6368 Fax: 207-774-9388 | |
Dr. Benjamin Lincoln Russell, DO Surgery Medicare: Medicare Enrolled Practice Location: 195 Fore River Pkwy, Suite 420, Portland, ME 04102 Phone: 207-553-6500 Fax: 207-553-6520 | |
Dr. Forest Raymond Sheppard, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St Ste 210, Portland, ME 04102 Phone: 207-774-6368 Fax: 207-774-9388 | |
Dr. Stacey Anne Rotta, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St, Portland, ME 04102 Phone: 207-774-6368 | |
Dr. Laura Teresa Withers, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St Ste 210, Portland, ME 04102 Phone: 207-774-2381 | |
Ms. Daly Anne Johnson, PA-C Surgery Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111 |