John P Kootz, MD | |
152 Dresden Ave, Gardiner, ME 04345-2615 | |
(207) 582-6608 | |
(207) 582-2258 |
Full Name | John P Kootz |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 152 Dresden Ave, Gardiner, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740280916 | NPI | - | NPPES |
286330099 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 012564 (Maine) | Primary |
Entity Name | State Of Maine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699776146 PECOS PAC ID: 7517875131 Enrollment ID: O20040610001611 |
Entity Name | Mainegeneral Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174858278 PECOS PAC ID: 1254245715 Enrollment ID: O20100209000671 |
Mailing Address | Practice Location Address |
---|---|
John P Kootz, MD 152 Dresden Ave, Gardiner, ME 04345-2615 Ph: (207) 582-6608 | John P Kootz, MD 152 Dresden Ave, Gardiner, ME 04345-2615 Ph: (207) 582-6608 |
Maia Lafarge Pinsky, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 152 Dresden Ave, Gardiner, ME 04345 Phone: 207-582-6608 Fax: 207-582-2258 | |
Christopher M Edwards, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 152 Dresden Ave, Gardiner, ME 04345 Phone: 207-582-6608 Fax: 207-582-2258 | |
Dr. Brian Leslie Gardner, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 43 Lincoln Ave, Gardiner, ME 04345 Phone: 207-582-5421 | |
Sarah Briscoe, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 152 Dresden Ave, Gardiner, ME 04345 Phone: 207-582-6608 Fax: 207-582-2258 | |
Margaret A Parsons, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 152 Dresden Ave, Gardiner, ME 04345 Phone: 207-582-6608 Fax: 207-582-2258 | |
Amanda Katie Powell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 152 Dresden Ave, Gardiner, ME 04345 Phone: 207-582-6608 |