John R Hatzenbuehler, MD | |
100 Foden Rd, East, Suite 200, South Portland, ME 04106 | |
(207) 523-8500 | |
(207) 523-8591 |
Full Name | John R Hatzenbuehler |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 20 Years |
Location | 100 Foden Rd, East, South Portland, Maine |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699844365 | NPI | - | NPPES |
30207627 | Medicaid | NH | |
432651599 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD17466 (Maine) | Primary |
207QS0010X | Family Medicine - Sports Medicine | MD17466 (Maine) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Home Care | Meridian, ID | Home health agency |
St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic - Wood River Llc | 3173783818 | 54 |
Entity Name | St Lukes Clinic - Wood River Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972891604 PECOS PAC ID: 3173783818 Enrollment ID: O20120404000474 |
Mailing Address | Practice Location Address |
---|---|
John R Hatzenbuehler, MD 100 Gannett Drive, Suite C, South Portland, ME 04106 Ph: (207) 828-0361 | John R Hatzenbuehler, MD 100 Foden Rd, East, Suite 200, South Portland, ME 04106 Ph: (207) 523-8500 |
Alexandra Roberts, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Foden Rd Ste 203, South Portland, ME 04106 Phone: 207-879-1489 | |
Dr. Joseph Py, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Western Ave, South Portland, ME 04106 Phone: 207-774-7111 | |
Anastasia R Norman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 96 Ocean St Ste 4, South Portland, ME 04106 Phone: 207-303-8800 | |
Bradford S. Wagner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Foden Rd Ste 3, South Portland, ME 04106 Phone: 207-874-1489 Fax: 207-523-8590 | |
Dr. John Edward Kazilionis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 778 Main St, Suite 1, South Portland, ME 04106 Phone: 207-775-7758 Fax: 207-879-7758 | |
Elizabeth R Bobzien, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Foden Rd, East, Suite 203, South Portland, ME 04106 Phone: 207-874-1489 Fax: 207-523-8590 | |
Dr. Maura Fox, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Foden Rd, South Portland, ME 04106 Phone: 207-774-5816 |