Dr John Whitney Randolph, DO | |
6 Glen Cove Dr, Rockport, ME 04856-4240 | |
(207) 596-8000 | |
(207) 593-5288 |
Full Name | Dr John Whitney Randolph |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 6 Glen Cove Dr, Rockport, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225296577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2098 (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 |
Entity Name | Penobscot Bay Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982645305 PECOS PAC ID: 2163320508 Enrollment ID: O20060316000020 |
Mailing Address | Practice Location Address |
---|---|
Dr John Whitney Randolph, DO 6 Glen Cove Crive, Penobscot Bay Medical Center, Rockport, ME 04856-4240 Ph: (207) 596-8000 | Dr John Whitney Randolph, DO 6 Glen Cove Dr, Rockport, ME 04856-4240 Ph: (207) 596-8000 |
Bruce B Lowry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6 Glen Cove Dr, Rockport, ME 04856 Phone: 073-018-3332 | |
Dr. William John Zwartjes Jr., M.D.,FACEP,FAAP Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 Glen Cove Dr, Rockport, ME 04856 Phone: 207-596-8000 Fax: 207-593-5288 | |
Dr. Mckenzie Shay Savidge, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6 Glen Cove Dr, Rockport, ME 04856 Phone: 207-596-8215 Fax: 207-593-5287 | |
Richard C Chandler, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 Glen Cove Dr, Rockport, ME 04856 Phone: 207-596-8333 | |
Chris John Michalakes, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6 Glen Cove Dr, Penobscot Bay Medical Center, Rockport, ME 04856 Phone: 207-596-8314 | |
Dr. Joseph John Manavola, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 Glen Cove Dr, Rockport, ME 04856 Phone: 207-596-8333 |