Dr Oliver P Archibald, MD | |
2807 Grand Ave, Baldwin, NY 11510-4033 | |
(865) 207-8238 | |
Not Available |
Full Name | Dr Oliver P Archibald |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 31 Years |
Location | 2807 Grand Ave, Baldwin, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174508105 | NPI | - | NPPES |
255856400 | Medicaid | FL | |
44725 | Other | FL | BSFL |
59068423 | Other | FL | BSAL |
7558225 | Other | FL | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 44390 (Tennessee) | Secondary |
207R00000X | Internal Medicine | ME75799 (Florida) | Secondary |
208M00000X | Hospitalist | 289251 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northern Light Blue Hill Memorial Hospital | Blue hill, ME | Hospital |
Northern Light Maine Coast Hospital | Ellsworth, ME | Hospital |
Sebasticook Valley Health | Pittsfield, ME | Hospital |
Rutland Regional Medical Center | Rutland, VT | Hospital |
Eastern Maine Medical Center | Bangor, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospital Medicine Services Of Maine Llc | 1759621469 | 36 |
Maine Medical Services Llc | 3375884216 | 16 |
Entity Name | Hospital Medicine Services Of Maine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538638432 PECOS PAC ID: 1759621469 Enrollment ID: O20190315001380 |
Entity Name | Maine Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053878371 PECOS PAC ID: 3375884216 Enrollment ID: O20190403000543 |
Mailing Address | Practice Location Address |
---|---|
Dr Oliver P Archibald, MD 2807 Grand Ave, Baldwin, NY 11510-4033 Ph: (865) 207-8238 | Dr Oliver P Archibald, MD 2807 Grand Ave, Baldwin, NY 11510-4033 Ph: (865) 207-8238 |