Dr Charles J Mallo, DO | |
216 Vaughan St, Portland, ME 04102-3204 | |
(207) 662-2221 | |
(207) 810-2367 |
Full Name | Dr Charles J Mallo |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 17 Years |
Location | 216 Vaughan St, Portland, Maine |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063611788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | DO2378 (Maine) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Maine Medical Center | Portland, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mainehealth | 7517860588 | 2109 |
Entity Name | Maine Medical Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467477349 PECOS PAC ID: 9335043967 Enrollment ID: O20031125000026 |
Entity Name | Mainehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles J Mallo, DO 78 Atlantic Pl, South Portland, ME 04106-2316 Ph: (207) 661-6654 | Dr Charles J Mallo, DO 216 Vaughan St, Portland, ME 04102-3204 Ph: (207) 662-2221 |
Dr. Robert Charles King, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2 Portland Sq Ste 201, Portland, ME 04101 Phone: 207-607-4022 Fax: 207-613-5048 | |
Dr. Barbara Jane Wood, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 121 Middle St, Suite 404, Portland, ME 04101 Phone: 207-772-8634 Fax: 207-772-1629 | |
Amy Wood, PSY D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 57 Exchange St, Suite 403, Portland, ME 04101 Phone: 207-772-7542 Fax: 207-775-4454 | |
Dr. Jeremy Ashley Spiegel, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 63 Preble St, Portland, ME 04101 Phone: 207-822-0232 | |
Robert Toscano, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 165 Lancaster St, Portland, ME 04101 Phone: 207-874-1030 Fax: 207-874-1044 | |
Dr. Robert A Haines, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 477 Congress St Ste 201, Portland, ME 04101 Phone: 207-773-7811 Fax: 207-773-0663 |