Jonathan J Hallenbeck, MD | |
149 North St, Waterville, ME 04901-4974 | |
(207) 872-1000 | |
Not Available |
Full Name | Jonathan J Hallenbeck |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 149 North St, Waterville, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760469563 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 012745 (Maine) | Primary |
Entity Name | Mainegeneral Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718 |
Entity Name | Radiology Alliance Of Maine Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821439258 PECOS PAC ID: 4486888575 Enrollment ID: O20131003000057 |
Mailing Address | Practice Location Address |
---|---|
Jonathan J Hallenbeck, MD Po Box 1849, Lewiston, ME 04241-1849 Ph: (207) 784-2554 | Jonathan J Hallenbeck, MD 149 North St, Waterville, ME 04901-4974 Ph: (207) 872-1000 |
James D. Raque, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 149 North Street, Waterville, ME 04901 Phone: 207-873-0729 Fax: 207-873-4338 | |
Zaki Nashed, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-872-1000 | |
Paul D Gagliardi, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-872-1000 | |
Johannes Hendrik Jordaan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-872-1000 |