Joel L Botler, MD | |
84 Marginal Way, Suite 700, Portland, ME 04101-2443 | |
(207) 774-5816 | |
(207) 523-8597 |
Full Name | Joel L Botler |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 84 Marginal Way, 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 |
---|---|---|---|
1891764577 | NPI | - | NPPES |
010554 | Other | ANTHEM | |
1040536 | Other | AETNA | |
290910099 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 010885 (Maine) | Primary |
207RG0300X | Internal Medicine - Geriatric Medicine | 010885 (Maine) | Secondary |
Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639194509 PECOS PAC ID: 7517860588 Enrollment ID: O20040206000472 |
Entity Name | Maine Medical Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073527388 PECOS PAC ID: 9335043967 Enrollment ID: O20050401000844 |
Mailing Address | Practice Location Address |
---|---|
Joel L Botler, MD 100 Foden Rd, West, Suite 203, South Portland, ME 04106-2319 Ph: (207) 828-0361 | Joel L Botler, MD 84 Marginal Way, Suite 700, Portland, ME 04101-2443 Ph: (207) 774-5816 |
Andrew J. Hsu, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 155 Fore River Pkwy, Portland, ME 04102 Phone: 207-535-1100 Fax: 207-879-8787 | |
David A Polisner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000 | |
Brian D Moore, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000 | |
Marc Stuart Hoffman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3265 | |
Janet D Mcculley, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-4618 | |
Saeeda Fatima, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St Rm 2227, Portland, ME 04102 Phone: 207-662-4618 | |
Dr. Thalia Mayes, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 161 Marginal Way, Portland, ME 04101 Phone: 207-773-7964 Fax: 207-773-9073 |