Frederick K Poulin Jr, MD | |
144 State St, Portland, ME 04101-3776 | |
(207) 879-3770 | |
Not Available |
Full Name | Frederick K Poulin Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 144 State 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 |
---|---|---|---|
1528094562 | NPI | - | NPPES |
30002365 | Medicaid | NH | |
002368 | Other | ANTHEM | |
273490099 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | MD10685 (Maine) | Primary |
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 |
---|---|
Frederick K Poulin Jr, MD 144 State St, Portland, ME 04101-3776 Ph: (207) 879-3770 | Frederick K Poulin Jr, MD 144 State St, Portland, ME 04101-3776 Ph: (207) 879-3770 |
Andrew J. Hsu, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 155 Fore River Pkwy, Portland, ME 04102 Phone: 207-535-1100 Fax: 207-879-8787 | |
David A Polisner, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000 | |
Brian D Moore, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000 | |
Marc Stuart Hoffman, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3265 | |
Janet D Mcculley, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-4618 | |
Saeeda Fatima, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St Rm 2227, Portland, ME 04102 Phone: 207-662-4618 | |
Dr. Thalia Mayes, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 161 Marginal Way, Portland, ME 04101 Phone: 207-773-7964 Fax: 207-773-9073 |