Brendan P Kirby, MD | |
123 Andover Rd, Westbrook, ME 04092-3848 | |
(207) 761-2200 | |
(207) 761-2108 |
Full Name | Brendan P Kirby |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 123 Andover Rd, Westbrook, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306851589 | NPI | - | NPPES |
206350099 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD13039 (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 |
---|---|
Brendan P Kirby, MD 300 Southborough Dr, Suite 201, South Portland, ME 04106-6914 Ph: (207) 661-2018 | Brendan P Kirby, MD 123 Andover Rd, Westbrook, ME 04092-3848 Ph: (207) 761-2200 |
Sally A. Cooper, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 123 Andover Rd, Westbrook, ME 04092 Phone: 207-761-2200 Fax: 207-761-2108 | |
David F Ray, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 123 Andover Rd, Westbrook, ME 04092 Phone: 207-761-2200 Fax: 207-761-7773 | |
Dr. Shannon Janice Ezovski, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 123 Andover Rd, Westbrook, ME 04092 Phone: 207-761-2200 | |
Dr. Sarah Gumlak, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 123 Andover Rd, Westbrook, ME 04092 Phone: 207-761-2200 | |
Girard E Robinson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 123 Andover Rd, Westbrook, ME 04092 Phone: 207-761-2200 Fax: 207-842-7773 | |
Dr. Gabriel E. Matos, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 123 Andover Rd, Westbrook, ME 04092 Phone: 207-761-2200 |