Dr Villi Peters Enders, MD | |
53 Sewall St, Portland, ME 04102-2625 | |
(207) 828-2020 | |
Not Available |
Full Name | Dr Villi Peters Enders |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 53 Sewall St, 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 |
---|---|---|---|
1740263433 | NPI | - | NPPES |
218470000 | Medicaid | ME | |
1740263433 | Other | ME | INDIVIDUAL NPI |
006187 | Other | ME | ANTHEM OF MAINE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 012829 (Maine) | Primary |
207L00000X | Anesthesiology | 147526-1 (New York) | Secondary |
207L00000X | Anesthesiology | MD-052485-L (Pennsylvania) | Secondary |
Entity Name | Villi P Enders Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124260831 PECOS PAC ID: 7618025701 Enrollment ID: O20090429000303 |
Mailing Address | Practice Location Address |
---|---|
Dr Villi Peters Enders, MD Po Box 810, Westbrook, ME 04098-0810 Ph: (207) 854-1544 | Dr Villi Peters Enders, MD 53 Sewall St, Portland, ME 04102-2625 Ph: (207) 828-2020 |
David Edward Landry, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2526 | |
Francis Altman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 144 State St, Anesthesia Department, Portland, ME 04101 Phone: 207-879-3385 | |
Dylan Wingfield, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-478-6024 | |
Dr. Frederick Craig Littlejohn, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1945 Congress St Ste 103, Portland, ME 04102 Phone: 207-835-8116 | |
Jay Kellegrew, Anesthesiology Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-7068 | |
Christopher James Beeler, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111 | |
Charles F Adams, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2526 |