Dianne E Kallen, MD | |
252 Brunswick St, Old Town, ME 04468 | |
(207) 827-6128 | |
(207) 827-5533 |
Full Name | Dianne E Kallen |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 23 Years |
Location | 252 Brunswick St, Old Town, Maine |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639274913 | NPI | - | NPPES |
424020099 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 016631 (Maine) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Eastern Maine Medical Center | Bangor, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eastern Maine Medical Center | 2062315161 | 588 |
Entity Name | Eastern Maine Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088 |
Mailing Address | Practice Location Address |
---|---|
Dianne E Kallen, MD Po Box 1599, Bangor, ME 04402-1599 Ph: (207) 945-5247 | Dianne E Kallen, MD 252 Brunswick St, Old Town, ME 04468 Ph: (207) 827-6128 |
Alice E Shallcross, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 | |
Christopher Albert Ritter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-5533 | |
Crystal A Dockery, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-6605 | |
Nicole J Smith-sandilands, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 | |
Christopher M Buck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick Street, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-6605 | |
Patricia A Elliott, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-5533 | |
Susan E Cheff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-5533 |