Mark Eugene Bolduc, MD | |
325 Kennedy Memorial Dr # B, Waterville, ME 04901-4517 | |
(207) 872-7171 | |
(207) 877-7268 |
Full Name | Mark Eugene Bolduc |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 325 Kennedy Memorial Dr # B, 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 |
---|---|---|---|
1043226129 | NPI | - | NPPES |
M101030 | Other | ME | CIGNA |
039918 | Other | ME | ANTHEM BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 011486 (Maine) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 011486 (Maine) | Primary |
Entity Name | Mainegeneral Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718 |
Entity Name | Sebasticook Valley Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457461477 PECOS PAC ID: 3476462797 Enrollment ID: O20040513001197 |
Entity Name | Eastern Maine Healthcare Systems Inland Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376579557 PECOS PAC ID: 6305817503 Enrollment ID: O20040802001656 |
Mailing Address | Practice Location Address |
---|---|
Mark Eugene Bolduc, MD 325 Kennedy Memorial Dr # B, Waterville, ME 04901-4517 Ph: (207) 872-7171 | Mark Eugene Bolduc, MD 325 Kennedy Memorial Dr # B, Waterville, ME 04901-4517 Ph: (207) 872-7171 |
Michael P Durr, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 180 Kennedy Memorial Dr, Suite 304, Waterville, ME 04901 Phone: 207-861-7874 Fax: 207-861-4646 | |
Dr. Simon A. L. Gibbs, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 180 Kennedy Memorial Dr, Suite 304, Waterville, ME 04901 Phone: 207-861-7874 Fax: 207-861-4646 | |
Dr. Craig R Thompson, MD Surgery Medicare: Medicare Enrolled Practice Location: 180 Kennedy Memorial Dr, Suite 304, Waterville, ME 04901 Phone: 207-861-7874 Fax: 207-861-4646 | |
Dr. George Albaran Elias, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 180 Kennedy Memorial Dr Ste 204, Waterville, ME 04901 Phone: 207-861-7874 | |
Sheridan R Oldham, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 325d Kennedy Memorial Dr, Waterville, ME 04901 Phone: 207-873-4055 Fax: 207-873-5243 | |
John L Margolis, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 325 D Kennedy Memorial Dr, Waterville, ME 04901 Phone: 207-873-4055 Fax: 207-873-5243 |