Dr Thomas Mellow, MD | |
100 Foden Rd Ste 103, South Portland, ME 04106-2327 | |
(207) 828-1122 | |
(207) 828-0188 |
Full Name | Dr Thomas Mellow |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Pulmonology |
Location | 100 Foden Rd Ste 103, South Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003846361 | NPI | - | NPPES |
30203388 | Medicaid | NH | |
331790099 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 016021 (Maine) | Secondary |
2080P0214X | Pediatrics - Pediatric Pulmonology | 016021 (Maine) | Primary |
Entity Name | Maine Medical Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144090 PECOS PAC ID: 9335043967 Enrollment ID: O20040331000191 |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas Mellow, MD 301 Us Route 1, Scarborough, ME 04074-7609 Ph: (207) 396-8600 | Dr Thomas Mellow, MD 100 Foden Rd Ste 103, South Portland, ME 04106-2327 Ph: (207) 828-1122 |
Katherine Rutherford, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 50 Foden Rd Ste 3, South Portland, ME 04106 Phone: 207-523-8500 | |
Dr. Jessie Araminta Kerr, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 75 John Roberts Rd, Unit 8b, South Portland, ME 04106 Phone: 207-775-4151 | |
Dr. Cynthia Lynn Robbins, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 75b John Roberts Rd Ste 8b, South Portland, ME 04106 Phone: 207-775-4151 | |
Dr. Margaret J. Zamboni, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Foden Rd, West, Suite 303, South Portland, ME 04106 Phone: 207-523-3767 Fax: 207-523-8596 | |
Brock Donald Libby, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 75 John Roberts Rd Bldg B, South Portland, ME 04106 Phone: 207-775-4151 | |
Dr. Sarah Hoffman, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 119 Gannett Dr, South Portland, ME 04106 Phone: 207-773-0040 |