Dr David A Dettmann, DO | |
100 Campus Ave, Suite 208, Lewiston, ME 04240-6040 | |
(207) 777-8974 | |
(207) 777-8946 |
Full Name | Dr David A Dettmann |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 30 Years |
Location | 100 Campus Ave, Lewiston, 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 |
---|---|---|---|
1073538427 | NPI | - | NPPES |
337840099 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 1658 (Maine) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mid Coast Hospital | Brunswick, ME | Hospital |
Franklin Memorial Hospital | Farmington, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mainehealth | 7517860588 | 2109 |
Entity Name | Mid Coast Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932164795 PECOS PAC ID: 5496739468 Enrollment ID: O20040623001212 |
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 David A Dettmann, DO Po Box 4140, Boston, MA 02241-4140 Ph: (207) 777-4111 | Dr David A Dettmann, DO 100 Campus Ave, Suite 208, Lewiston, ME 04240-6040 Ph: (207) 777-8974 |
Ashley Beaulieu, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 93 Campus Ave, Lewiston, ME 04240 Phone: 207-440-5902 | |
Alfonso Corona, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1155 Lisbon St, Lewiston, ME 04240 Phone: 207-783-9141 | |
Dr. Paula Claire Kirby-long, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 76 High St Ste 300, Lewiston, ME 04240 Phone: 207-795-5544 Fax: 207-795-5645 | |
Dr. Luke W Ballenger Iii, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 Campus Ave, Suite 208, Lewiston, ME 04240 Phone: 207-777-8974 Fax: 207-777-8946 | |
Annabel L Bradford, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 93 Campus Ave, Lewiston, ME 04240 Phone: 207-777-8700 | |
Ira M. Shapiro, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 Campus Ave, Suite 208, Lewiston, ME 04240 Phone: 207-777-8974 Fax: 207-777-8946 |