Charlotte A Kassab, MD | |
84 Marginal Way, Suite 900, Portland, ME 04101-2443 | |
(207) 874-2445 | |
(207) 523-8598 |
Full Name | Charlotte A Kassab |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 84 Marginal Way, 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 |
---|---|---|---|
1487623120 | NPI | - | NPPES |
2646963 | Other | AETNA | |
041321 | Other | ANTHEM | |
324080099 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 015235 (Maine) | Primary |
Entity Name | Maine Medical Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104921535 PECOS PAC ID: 9335043967 Enrollment ID: O20040331000274 |
Mailing Address | Practice Location Address |
---|---|
Charlotte A Kassab, MD 100 Foden Rd W, Ste 203, South Portland, ME 04106 Ph: (207) 828-0361 | Charlotte A Kassab, MD 84 Marginal Way, Suite 900, Portland, ME 04101-2443 Ph: (207) 874-2445 |
Shannon L Carr, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St Ste 200, Portland, ME 04102 Phone: 207-771-5549 Fax: 207-771-7834 | |
Carol M Vaughan, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 84 Marginal Way, Suite 900, Portland, ME 04101 Phone: 207-874-2445 Fax: 207-523-8598 | |
Toby M Fitzgerald, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St Ste 200, Portland, ME 04102 Phone: 207-771-5549 Fax: 207-771-7834 | |
Dr. Edward Bumno Yoon, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 895 Washington Ave, Portland, ME 04103 Phone: 207-791-3888 | |
Dr. Kathryn G Wadland, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 195 Fore River Pkwy, Suite 440, Portland, ME 04102 Phone: 207-553-6920 Fax: 207-553-6940 | |
Anne Marie Van Hengel, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 84 Marginal Way, Suite 900, Portland, ME 04101 Phone: 207-874-2445 Fax: 207-523-8598 | |
Dr. Debra K Sepulveda, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111 Fax: 207-662-6219 |