Erin R Van Wagenen, MD | |
259 Main Street, Yarmouth, ME 04096 | |
(207) 846-9602 | |
(207) 662-7066 |
Full Name | Erin R Van Wagenen |
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Gender | Female |
Speciality | Pediatrics |
Location | 259 Main Street, Yarmouth, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124314513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD20134 (Maine) | Primary |
Entity Name | Bridgton Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154370153 PECOS PAC ID: 8123919099 Enrollment ID: O20040322000534 |
Entity Name | Central Maine Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441 |
Mailing Address | Practice Location Address |
---|---|
Erin R Van Wagenen, MD 100 Gannett Drive, Suite C, South Portland, ME 04106 Ph: (207) 828-0361 | Erin R Van Wagenen, MD 259 Main Street, Yarmouth, ME 04096 Ph: (207) 846-9602 |
Jennifer Power, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 45 Forest Falls Drive, Yarmouth, ME 04096 Phone: 207-846-9761 | |
Stephen B Jacobs, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 259 Main St, Yarmouth, ME 04096 Phone: 207-846-9602 Fax: 207-523-8586 | |
Dr. Jonathan Bausman, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 259 Main St, Yarmouth, ME 04096 Phone: 207-846-9602 | |
Jeffrey B Peterson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 259 Main Street, Yarmouth, ME 04096 Phone: 207-846-9602 Fax: 207-846-6714 | |
Edward Silco, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 45 Forest Falls Dr, Yarmouth, ME 04096 Phone: 207-846-9761 Fax: 207-846-9763 | |
Julia D. Lockwood, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 45 Forest Falls Drive, Yarmouth, ME 04096 Phone: 207-846-9761 |