Jon C Older, DO | |
20 Hartford St, Houlton, ME 04730-1891 | |
(207) 532-2900 | |
(207) 532-5974 |
Full Name | Jon C Older |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 28 Years |
Location | 20 Hartford St, Houlton, 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 |
---|---|---|---|
1073582128 | NPI | - | NPPES |
323250099 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | DO1652 (Maine) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Houlton Regional Hospital | Houlton, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Houlton Regional Hospital | 0042127946 | 27 |
Entity Name | Houlton Regional Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386804268 PECOS PAC ID: 0042127946 Enrollment ID: O20041123000733 |
Mailing Address | Practice Location Address |
---|---|
Jon C Older, DO 20 Hartford St, Houlton, ME 04730-1891 Ph: (207) 532-2900 | Jon C Older, DO 20 Hartford St, Houlton, ME 04730-1891 Ph: (207) 532-2900 |
Stephen M Raph, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 20 Hartford St, Houlton, ME 04730 Phone: 207-532-2900 Fax: 207-532-5974 | |
Hassan E Abouleish, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Hartford St, Sigrid E Tompkins Health Center, Houlton, ME 04730 Phone: 207-532-4068 Fax: 207-532-5974 | |
Mr. Larry J Sokolic, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Hatford St, Houlton, ME 04730 Phone: 218-463-1365 Fax: 218-463-4712 | |
Thomas J. Ryan, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Hartford St, Houlton, ME 04730 Phone: 207-532-2900 Fax: 207-532-5974 | |
Ted L Sussman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Hartford St, Sigrid E Tompkins Health Center, Houlton, ME 04730 Phone: 207-532-4068 Fax: 207-532-5974 |