Charles R Gasser, MD | |
12 High St Ste 102, Lewiston, ME 04240-7634 | |
(207) 784-4539 | |
(207) 784-2868 |
Full Name | Charles R Gasser |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 12 High St Ste 102, Lewiston, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023105020 | NPI | - | NPPES |
12080 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 9234 (North Dakota) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Charles R Gasser, MD 12 High St Ste 102, Lewiston, ME 04240-7634 Ph: (207) 784-4539 | Charles R Gasser, MD 12 High St Ste 102, Lewiston, ME 04240-7634 Ph: (207) 784-4539 |
Dr. Norris K Lee, MD, FACS Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 12 High St, Ste 102, Lewiston, ME 04240 Phone: 207-784-4539 Fax: 207-784-2868 | |
Dr. Benjamin Franklin Lounsbury, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 12 High St, Ste. 102, Lewiston, ME 04240 Phone: 207-784-4539 Fax: 207-784-2868 | |
Robert S Warner, DO Otolaryngology Medicare: Medicare Enrolled Practice Location: 12 High St, Ste 102, Lewiston, ME 04240 Phone: 207-784-4539 Fax: 207-784-2868 | |
Shaulnie Mohan, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 12 High St, Ste. 102, Lewiston, ME 04240 Phone: 207-795-5970 Fax: 207-795-7193 |