Kellie Sprague, MD | |
265 Western Ave Ste 2, South Portland, ME 04106-2458 | |
(207) 661-0200 | |
Not Available |
Full Name | Kellie Sprague |
---|---|
Gender | Female |
Speciality | Hematology |
Experience | 33 Years |
Location | 265 Western Ave Ste 2, South Portland, Maine |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942240585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 154577 (Massachusetts) | Secondary |
207RH0000X | Internal Medicine - Hematology | MD24532 (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 | Maine Medical Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285738310 PECOS PAC ID: 9335043967 Enrollment ID: O20040525000396 |
Entity Name | Mainehealth |
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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 |
---|---|
Kellie Sprague, MD 265 Western Ave Ste 2, South Portland, ME 04106-2458 Ph: (207) 661-0200 | Kellie Sprague, MD 265 Western Ave Ste 2, South Portland, ME 04106-2458 Ph: (207) 661-0200 |
Dr. Jonathan B Zuckerman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Foden Road, West Building Suite 103, South Portland, ME 04106 Phone: 207-828-1122 Fax: 207-828-0188 | |
Laureen A Biczak, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Foden Rd, Ste 3, South Portland, ME 04106 Phone: 207-774-5816 Fax: 207-523-8594 | |
Pamela Egan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 265 Western Ave Ste 2, South Portland, ME 04106 Phone: 207-661-0200 | |
Lucy Rosenbaum, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 75 John Roberts Rd Bldg B, South Portland, ME 04106 Phone: 207-775-4151 | |
Dr. Christopher G Tretter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Mainehealth Cancer Care, 265 Western Ave Suite 2, South Portland, ME 04106 Phone: 207-661-0200 | |
Dr. Emily V Wood, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Foden Rd, Ste 3, South Portland, ME 04106 Phone: 207-774-5816 Fax: 207-523-8594 | |
Dr. Daniel J Diekema, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Donald B Dean Dr, South Portland, ME 04106 Phone: 207-661-7901 |