Jonathan Dreifus, MD | |
887 Congress St, Ste 400, Portland, ME 04102-3100 | |
(207) 774-6368 | |
(207) 662-7996 |
Full Name | Jonathan Dreifus |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 34 Years |
Location | 887 Congress St, 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 |
---|---|---|---|
1235111048 | NPI | - | NPPES |
P00329673 | Other | ME | RR MEDICARE |
327490099 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD13413 (Maine) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Maine Medical Center | Portland, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mainehealth | 7517860588 | 2109 |
Entity Name | St Marys Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447226584 PECOS PAC ID: 0042107120 Enrollment ID: O20040303000236 |
Entity Name | Maine Medical Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285738310 PECOS PAC ID: 9335043967 Enrollment ID: O20040525000396 |
Entity Name | Mainehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Dreifus, MD 301c Us Route 1, Scarborough, ME 04074-9701 Ph: (207) 396-8600 | Jonathan Dreifus, MD 887 Congress St, Ste 400, Portland, ME 04102-3100 Ph: (207) 774-6368 |
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 |