Dr Gary A Keller, MD PHD | |
417 State St Ste 421, Bangor, ME 04401-6639 | |
(207) 973-5293 | |
(207) 973-5263 |
Full Name | Dr Gary A Keller |
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Gender | Male |
Speciality | Surgery |
Location | 417 State St Ste 421, Bangor, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083640304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 012479 (Maine) | Primary |
Entity Name | Eastern Maine Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088 |
Mailing Address | Practice Location Address |
---|---|
Dr Gary A Keller, MD PHD 43 Whiting Hill Rd, Ste 300, Brewer, ME 04412-1005 Ph: (207) 973-5035 | Dr Gary A Keller, MD PHD 417 State St Ste 421, Bangor, ME 04401-6639 Ph: (207) 973-5293 |
Dr. Pedro Pablo Gomez Valencia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-3650 Fax: 207-907-3660 | |
Dr. Peter Beaulieu, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000 | |
Marie V Nguyen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000 | |
Dr. Brad Edward Waddell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 417 State St, Suite 330 Webber East, Bangor, ME 04401 Phone: 207-973-8881 Fax: 207-973-8880 | |
Joanmarie Dietz Pellegrini, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-3650 Fax: 207-907-3660 | |
Maria Michailidou, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 417 State St Ste 330, Bangor, ME 04401 Phone: 207-973-8881 |