| Ian R Neilson, MD | |
|
887 Congress St, Suite 300, Portland, ME 04102-3100 | |
| (207) 662-5555 | |
| (207) 662-5526 |
| Full Name | Ian R Neilson |
|---|---|
| Gender | Male |
| Speciality | Surgery - Pediatric Surgery |
| Location | 887 Congress St, Portland, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447330410 | NPI | - | NPPES |
| 30208266 | Medicaid | NH | |
| 433399099 | Medicaid | ME | |
| MD98332 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0120X | Surgery - Pediatric Surgery | 5423 (Alaska) | Secondary |
| 2086S0120X | Surgery - Pediatric Surgery | MD18028 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ian R Neilson, MD 301 Us Route 1, Scarborough, ME 04074-7609 Ph: (207) 396-8600 | Ian R Neilson, MD 887 Congress St, Suite 300, Portland, ME 04102-3100 Ph: (207) 662-5555 |
Virginia A Eddy, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 887 Congress St., Portland, ME 04102 Phone: 207-774-2311 | |
Leslie S Wu, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St, Suite 400, Portland, ME 04102 Phone: 207-774-6368 Fax: 207-774-9388 | |
Dr. Benjamin Lincoln Russell, DO Surgery Medicare: Medicare Enrolled Practice Location: 195 Fore River Pkwy, Suite 420, Portland, ME 04102 Phone: 207-553-6500 Fax: 207-553-6520 | |
Dr. Forest Raymond Sheppard, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St Ste 210, Portland, ME 04102 Phone: 207-774-6368 Fax: 207-774-9388 | |
Dr. Stacey Anne Rotta, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St, Portland, ME 04102 Phone: 207-774-6368 | |
Dr. Laura Teresa Withers, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St Ste 210, Portland, ME 04102 Phone: 207-774-2381 | |
Ms. Daly Anne Johnson, PA-C Surgery Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111 |