Deborah J Puckhaber, MD | |
300 Main St, Central Maine Medical Center, Lewiston, ME 04240-7027 | |
(207) 795-7575 | |
(207) 795-7193 |
Full Name | Deborah J Puckhaber |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 300 Main St, 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 |
---|---|---|---|
1336207901 | NPI | - | NPPES |
201045220 | Medicaid | IN | |
30204794 | Medicaid | NH | |
000000745189 | Other | IN | ANTHEM PROVIDER NUMBER |
020475714 | Other | NH | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 173763 (New York) | Secondary |
207R00000X | Internal Medicine | MD20227 (Maine) | Primary |
207R00000X | Internal Medicine | 01069603A (Indiana) | Secondary |
Entity Name | Mainegeneral Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718 |
Entity Name | Bridgton Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154370153 PECOS PAC ID: 8123919099 Enrollment ID: O20040322000534 |
Mailing Address | Practice Location Address |
---|---|
Deborah J Puckhaber, MD 300 Main St, Central Maine Medical Center, Lewiston, ME 04240-7027 Ph: (207) 795-5970 | Deborah J Puckhaber, MD 300 Main St, Central Maine Medical Center, Lewiston, ME 04240-7027 Ph: (207) 795-7575 |
Asha Mohamud, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 300 Main St, Lewiston, ME 04240 Phone: 207-795-0111 | |
Sandra L Harris, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 99 Campus Ave, Suite 301, Lewiston, ME 04240 Phone: 207-777-4320 Fax: 207-777-4331 | |
Nancy Asamoa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Main St, Lewiston, ME 04240 Phone: 207-795-0111 | |
Lauren M Desmarais, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 Campus Ave, Suite 201, Lewiston, ME 04240 Phone: 207-777-8810 Fax: 207-777-8155 | |
Dr. Jessica Ana Kvasic, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 Campus Ave Ste 301, Lewiston, ME 04240 Phone: 077-775-3002 | |
Dr. Martha M Stagaman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Main St, Lewiston, ME 04240 Phone: 207-795-7575 Fax: 207-795-7133 | |
Dr. Winoah Anya Henry, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 77 Bates St Ste 202, Lewiston, ME 04240 Phone: 207-784-5784 |