Dr Macario F Lichauco, MD | |
489 State St, Kelly 6 Eastern Maine Medical Center, Bangor, ME 04401-6616 | |
(207) 973-8670 | |
(207) 973-5163 |
Full Name | Dr Macario F Lichauco |
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Gender | Male |
Speciality | Hospitalist |
Location | 489 State St, 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 |
---|---|---|---|
1821026055 | NPI | - | NPPES |
0033779 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35149711 (Ohio) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 015508 (Maine) | Secondary |
208M00000X | Hospitalist | 35149711 (Ohio) | Primary |
Entity Name | Pediatric Academic Association, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198 |
Mailing Address | Practice Location Address |
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Dr Macario F Lichauco, MD 489 State St, Kelly 6 Eastern Maine Medical Center, Bangor, ME 04401-6616 Ph: (207) 973-8670 | Dr Macario F Lichauco, MD 489 State St, Kelly 6 Eastern Maine Medical Center, Bangor, ME 04401-6616 Ph: (207) 973-8670 |
Dr. Leonard C Moneke, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000 Fax: 207-973-5042 | |
Dr. James M Mccarthy, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000 Fax: 207-973-5042 | |
Dr. Alexandra Craig, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 992 Union St, Bangor, ME 04401 Phone: 207-945-5247 | |
Dr. Savitha Rajan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000 Fax: 207-973-5042 | |
Pradeep S Paul, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-3215 Fax: 207-907-1795 | |
Toyiba Hussain Syed, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-6252 Fax: 207-973-5042 | |
Keith Amit Singh, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-6605 Fax: 207-973-4441 |