Dr Angela L Branda, DO | |
295 Forest Ave, 2r, Portland, ME 04101-2018 | |
(207) 772-5437 | |
(207) 879-1537 |
Full Name | Dr Angela L Branda |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 295 Forest Ave, 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 |
---|---|---|---|
1710173133 | NPI | - | NPPES |
AA221173 | Other | ME | HPHC |
1710173133 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2172 (Maine) | Primary |
Entity Name | Be Well My Friend Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104250158 PECOS PAC ID: 6406079342 Enrollment ID: O20140522001413 |
Mailing Address | Practice Location Address |
---|---|
Dr Angela L Branda, DO Po Box 2500, Lewiston, ME 04243-2500 Ph: (207) 784-2554 | Dr Angela L Branda, DO 295 Forest Ave, 2r, Portland, ME 04101-2018 Ph: (207) 772-5437 |
Rushika M Conroy, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 41 Donald B Dean Dr Ste A, Portland, ME 04106 Phone: 207-661-6064 | |
Michael Alexander Ferguson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Mmc Picu, Portland, ME 04102 Phone: 207-662-6711 | |
Dr. Rute S Rothwell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-7060 | |
Kenneth Lombard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 887 Congress St, Suite 410b, Portland, ME 04102 Phone: 207-662-5522 Fax: 207-662-5526 | |
David F Cox, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2353 | |
Marie H Tanzer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St, Suite 320, Portland, ME 04102 Phone: 207-662-5522 Fax: 207-662-5527 | |
Daniel Sobel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 800-482-1415 Fax: 800-482-1415 |