Marian Benner, MD | |
360 Broadway, Bangor, ME 04401-3979 | |
(207) 907-1550 | |
(207) 907-3052 |
Full Name | Marian Benner |
---|---|
Gender | Female |
Speciality | Undersea And Hyperbaric Medicine |
Experience | 38 Years |
Location | 360 Broadway, Bangor, 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 |
---|---|---|---|
1316018260 | NPI | - | NPPES |
528951300 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD16834 (Maine) | Secondary |
207PE0005X | Emergency Medicine - Undersea And Hyperbaric Medicine | MD16834 (Maine) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Hospital | Bangor, ME | Hospital |
Eastern Maine Medical Center | Bangor, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Joseph Hospital | 6406766336 | 150 |
Entity Name | St Joseph Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154321545 PECOS PAC ID: 6406766336 Enrollment ID: O20040604000895 |
Mailing Address | Practice Location Address |
---|---|
Marian Benner, MD C/o St Marys Health System - Provider Enrollment, Po Box 7291, Lewiston, ME 04243-7291 Ph: (207) 777-8560 | Marian Benner, MD 360 Broadway, Bangor, ME 04401-3979 Ph: (207) 907-1550 |
James Hildebrand, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-1703 Fax: 207-907-1921 | |
Mr. Angus Lee Hollander Beal, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-8000 Fax: 207-973-7985 | |
Ivan King, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-262-1703 Fax: 207-262-1106 | |
Dr. Ellen W White, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Emergency Department, Bangor, ME 04401 Phone: 207-973-7250 Fax: 207-973-5656 | |
Rose Mengual, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-5199 | |
Dr. Ruth A Fogler, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-8000 Fax: 207-973-5656 | |
Christian Andersen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-3000 Fax: 207-907-1921 |