Ellen F Lauer, DO | |
6 Telcom Dr, Bangor, ME 04401-3072 | |
(207) 992-2152 | |
(207) 992-2154 |
Full Name | Ellen F Lauer |
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Gender | Female |
Speciality | Pediatrics |
Location | 6 Telcom Dr, Bangor, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700025624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | DO2254 (Maine) | Primary |
Entity Name | Penobscot Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427169010 PECOS PAC ID: 0143212670 Enrollment ID: O20040819000698 |
Mailing Address | Practice Location Address |
---|---|
Ellen F Lauer, DO Po Box 1599, Bangor, ME 04402-1599 Ph: (207) 945-5247 | Ellen F Lauer, DO 6 Telcom Dr, Bangor, ME 04401-3072 Ph: (207) 992-2152 |
William R Byers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6 Telcom Dr, Bangor, ME 04401 Phone: 207-947-0147 | |
Chelsea Jean Swandal, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 133 Corporate Dr, Bangor, ME 04401 Phone: 207-941-1155 Fax: 207-945-5063 | |
Julia Millikan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 489 State St, Grant 8, Bangor, ME 04401 Phone: 207-973-8955 | |
Dr. Amy J Movius, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000 Fax: 207-973-5042 | |
Dr. Shannon M Marchegiani, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: Nicu Professional Services, Kelley 6, 489 State Street, Bangor, ME 04401 Phone: 207-973-8670 | |
Annie E Powers, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Telcom Dr Fl 2, Bangor, ME 04401 Phone: 207-947-0147 | |
Paulette Y. Coty, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1068 Union St, Bangor, ME 04401 Phone: 207-947-0147 |