Dr Brian Randall Ewy, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Kennebunk, Maine. His current practice location is
21 Rivers Edge Dr, Kennebunk, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 967-2745.
Dr Brian Randall Ewy is licensed to practice in Maine (license number 1835) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205878857.
Physician's Profile
| Full Name | Dr Brian Randall Ewy |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 21 Rivers Edge Dr, Kennebunk, Maine |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Brian Randall Ewy attended and graduated from in
NPI Data:
- NPI Number: 1205878857
- Provider Enumeration Date: 06/11/2006
- Last Update Date: 01/28/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Brian Randall Ewy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205878857 | NPI | - | NPPES |
| 1025758980002 | Medicaid | PA | |
| 7100081200 | Medicaid | KY | |
| 7617011 | Medicaid | NC | |
| Q01835 | Medicaid | SC | |
| 1205878857 | Other | | TRICARE NORTH |
| 1415863 | Medicaid | LA | |
| 432215499 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | OS9950 (Florida) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | OS015362 (Pennsylvania) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 1835 (Maine) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 58575 (Tennessee) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Brian Randall Ewy is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Brian Randall Ewy, DO
23625 Commerce Park, Ste 204,
Beachwood, OH 44122-5845
Ph: (216) 255-5743 | Dr Brian Randall Ewy, DO
21 Rivers Edge Dr,
Kennebunk, ME 04043-7739
Ph: (207) 967-2745 |
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