Dr Jaymie Fe Potenciano Panuncialman, MD | |
35 State Hospital Dr, Bangor, ME 04401-8816 | |
(207) 561-3600 | |
Not Available |
Full Name | Dr Jaymie Fe Potenciano Panuncialman |
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Gender | Female |
Speciality | Dermatology |
Location | 35 State Hospital Dr, 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 |
---|---|---|---|
1548567068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207N00000X | Dermatology | MD20891 (Maine) | Primary |
Entity Name | Penobscot Valley Dermatology Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952536880 PECOS PAC ID: 7315092541 Enrollment ID: O20090911000198 |
Mailing Address | Practice Location Address |
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Dr Jaymie Fe Potenciano Panuncialman, MD 381 Main St, Orono, ME 04473-3446 Ph: (207) 942-0669 | Dr Jaymie Fe Potenciano Panuncialman, MD 35 State Hospital Dr, Bangor, ME 04401-8816 Ph: (207) 561-3600 |
Dr. Jeffrey Dean Pittis, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 90 Ridgewood Dr, Bangor, ME 04401 Phone: 207-942-0669 Fax: 207-947-3143 | |
Dr. Orville Albert Hartford, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 90 Ridgewood Dr, Bangor, ME 04401 Phone: 207-942-0669 Fax: 207-947-3143 | |
Robert Wynne Haeberlein Jr., MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 700 Mount Hope Avenue Suite 601, Bangor, ME 04401 Phone: 207-942-4653 Fax: 207-990-4795 | |
Mrs. Faith Miller Whalen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 90 Ridgewood Dr, Bangor, ME 04401 Phone: 207-942-0669 Fax: 207-947-3143 | |
William F Gallagher, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1012 Union St, Bangor, ME 04401 Phone: 207-945-5247 Fax: 207-990-1248 | |
Mrs. Samantha Helene Mitchell, FNP-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 90 Ridgewood Dr, Bangor, ME 04401 Phone: 207-942-0669 Fax: 207-947-3143 |