Dr Tiffany F Rudloe, MD | |
32 Resort Way, Ellsworth, ME 04605-1717 | |
(207) 664-7744 | |
(207) 664-7724 |
Full Name | Dr Tiffany F Rudloe |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 32 Resort Way, 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 |
---|---|---|---|
1700097698 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 227781 (Massachusetts) | Secondary |
208000000X | Pediatrics | MD19683 (Maine) | Primary |
Entity Name | Maine Coast Regional Health Facilities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740249739 PECOS PAC ID: 1052208113 Enrollment ID: O20040804001405 |
Mailing Address | Practice Location Address |
---|---|
Dr Tiffany F Rudloe, MD 50 Union St, Maine Coast Pediatrics, Ellsworth, ME 04605-1534 Ph: (207) 664-7744 | Dr Tiffany F Rudloe, MD 32 Resort Way, Ellsworth, ME 04605-1717 Ph: (207) 664-7744 |
Sheena E Whittaker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 32 Resort Way, Maine Coast Pediatrics, Ellsworth, ME 04605 Phone: 207-664-7744 Fax: 207-664-7724 | |
Douglas Neal Macgregor, M.D., F.A.A.P. Pediatrics Medicare: Medicare Enrolled Practice Location: 32 Resort Way, Ellsworth, ME 04605 Phone: 207-664-7744 Fax: 207-664-7724 | |
Alexandria Paige Boley, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 50 Union St, Ellsworth, ME 04605 Phone: 207-664-7744 |