Dr Deirdre Burns Mondor, MD | |
3 Shape Dr, Kennebunk, ME 04043-6601 | |
(207) 467-8930 | |
Not Available |
Full Name | Dr Deirdre Burns Mondor |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 3 Shape Dr, Kennebunk, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710399530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A14973 (California) | Secondary |
208000000X | Pediatrics | FB6877027 (Maine) | Primary |
Entity Name | Mainehealth |
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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 Deirdre Burns Mondor, MD 3 Shape Dr, Kennebunk, ME 04043-6601 Ph: (207) 467-8930 | Dr Deirdre Burns Mondor, MD 3 Shape Dr, Kennebunk, ME 04043-6601 Ph: (207) 467-8930 |
Lisa Gouldsbrough, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3 Shape Drive, 2nd Floor, Kennebunk, ME 04043 Phone: 207-467-8930 Fax: 467-985-8459 | |
Christopher Rogers, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3 Shape Dr, Kennebunk, ME 04043 Phone: 207-467-8930 | |
Dr. Barry Hugo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Shape Dr, Kennebunk, ME 04043 Phone: 207-467-8955 Fax: 207-467-8959 | |
Donald R Burgess, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3 Shape Dr, Kennebunk, ME 04043 Phone: 207-467-8983 Fax: 207-467-8981 |