Dr Mary M Collins, MD | |
50 Union St, Suite 2300, Ellsworth, ME 04605-1586 | |
(207) 664-5642 | |
(207) 664-5664 |
Full Name | Dr Mary M Collins |
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Gender | Female |
Speciality | Surgery |
Location | 50 Union St, Ellsworth, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649222126 | NPI | - | NPPES |
218350099 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 013419 (Maine) | Primary |
Entity Name | Wentworth Douglass Physician Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447352430 PECOS PAC ID: 5496749848 Enrollment ID: O20040409000433 |
Mailing Address | Practice Location Address |
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Dr Mary M Collins, MD 50 Union St, Suite 2300, Ellsworth, ME 04605-1586 Ph: (207) 664-5642 | Dr Mary M Collins, MD 50 Union St, Suite 2300, Ellsworth, ME 04605-1586 Ph: (207) 664-5642 |
Daniel B Kairys, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 50 Union St Ste 2300, Ellsworth, ME 04605 Phone: 207-664-5642 Fax: 207-664-5664 | |
Dr. Lloyd Charles Harmon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 50 Union Street, Suite 2300, Ellsworth, ME 04605 Phone: 207-664-5642 Fax: 207-664-5664 | |
David Coffman, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 50 Union St, Suite 2300, Ellsworth, ME 04605 Phone: 207-664-5642 Fax: 207-664-5664 | |
Dylan Patrick Jacobus, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 50 Union St Ste 2200, Ellsworth, ME 04605 Phone: 207-664-5642 Fax: 207-664-5664 |