Dr Jacquelyn A Hedlund, MD | |
100 Campus Drive, Suite 108, Scarborough, ME 04074-9308 | |
(207) 396-7600 | |
(207) 396-7986 |
Full Name | Dr Jacquelyn A Hedlund |
---|---|
Gender | Female |
Speciality | Internal Medicine - Hematology |
Location | 100 Campus Drive, Scarborough, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699746453 | NPI | - | NPPES |
5656679 | Other | ME | AETNA |
6628849 | Other | ME | CIGNA |
2017782 | Other | ME | AETNA HMO |
030520 | Other | ME | ANTHEM BCBS |
288720099 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 13509 (Maine) | Secondary |
207RH0000X | Internal Medicine - Hematology | 13509 (Maine) | Primary |
Entity Name | Portland Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609120856 PECOS PAC ID: 5395998017 Enrollment ID: O20130206000120 |
Mailing Address | Practice Location Address |
---|---|
Dr Jacquelyn A Hedlund, MD P.o. Box 911, Brattleboro, VT 05302 Ph: (207) 396-7600 | Dr Jacquelyn A Hedlund, MD 100 Campus Drive, Suite 108, Scarborough, ME 04074-9308 Ph: (207) 396-7600 |
Dr. Mary C. Fahrenbach, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 96 Campus Drive, Suite 1, Scarborough, ME 04074 Phone: 207-885-9905 Fax: 207-396-5600 | |
Mark A Wrona, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 51 Us Route 1 Ste I, Scarborough, ME 04074 Phone: 207-303-3300 Fax: 207-250-2139 | |
Dr. Mylan C. Cohen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 96 Campus Drive, Suite 1, Scarborough, ME 04074 Phone: 207-885-9905 Fax: 207-396-5600 | |
Mirle A Kellett, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 96 Campus Dr, Suite 1, Scarborough, ME 04074 Phone: 207-396-5611 | |
Dr. Warren D Alpern, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 96 Campus Dr, Suite 1, Scarborough, ME 04074 Phone: 207-396-5611 | |
Dr. Eleni Nicole Nackos, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Campus Dr Unit 108, Scarborough, ME 04074 Phone: 207-303-3300 Fax: 207-250-2139 | |
Susan Miesfeldt, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Campus Drive, Suite 110, Scarborough, ME 04074 Phone: 207-396-7678 Fax: 207-396-8766 |