Dr Douglas L Jicha, MD | |
306 Us Route 1, Bldg C, Scarborough, ME 04074 | |
(207) 885-5742 | |
(207) 885-1494 |
Full Name | Dr Douglas L Jicha |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 39 Years |
Location | 306 Us Route 1, Scarborough, 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 |
---|---|---|---|
1306879325 | NPI | - | NPPES |
132540000 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 006810 (Maine) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Foundation | 8921993205 | 1312 |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas L Jicha, MD 306 Us Route 1, Bldg C, Scarborough, ME 04074 Ph: (207) 885-5742 | Dr Douglas L Jicha, MD 306 Us Route 1, Bldg C, Scarborough, ME 04074 Ph: (207) 885-5742 |
John Birknes, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 49 Spring St, Scarborough, ME 04074 Phone: 207-885-0011 | |
Elizabeth S.m. Desjardin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Campus Dr Unit 121, Scarborough, ME 04074 Phone: 207-396-7760 Fax: 207-396-8500 | |
Sarah Elizabeth Gray, MD Surgery Medicare: Medicare Enrolled Practice Location: 92 Campus Dr Ste D, Scarborough, ME 04074 Phone: 207-662-8900 | |
Scott Thomas Robinson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 92 Campus Dr Ste D, Scarborough, ME 04074 Phone: 040-742-0766 | |
Dr. Mohammad Farooq Usmani, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 92 Campus Dr Ste D, Scarborough, ME 04074 Phone: 207-662-8900 | |
Dr. Paige Teller, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Campus Dr Unit 108, Scarborough, ME 04074 Phone: 207-303-3300 Fax: 207-250-2139 |