Martyn A Vickers Jr, MD | |
3 Glen Cove Dr, Rockport, ME 04856-4232 | |
(207) 593-5400 | |
(207) 593-5301 |
Full Name | Martyn A Vickers Jr |
---|---|
Gender | Male |
Speciality | Urology |
Location | 3 Glen Cove Dr, Rockport, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831297803 | NPI | - | NPPES |
10450000 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 006250 (Maine) | Primary |
Entity Name | Mainehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Entity Name | Penobscot Bay Physicians & Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497799720 PECOS PAC ID: 4981592383 Enrollment ID: O20040824000665 |
Mailing Address | Practice Location Address |
---|---|
Martyn A Vickers Jr, MD 3 Glen Cove Dr, Rockport, ME 04856-4232 Ph: (207) 593-5400 | Martyn A Vickers Jr, MD 3 Glen Cove Dr, Rockport, ME 04856-4232 Ph: (207) 593-5400 |
Lars M Ellison, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3 Glen Cove Dr, Rockport, ME 04856 Phone: 207-593-5400 Fax: 207-593-5301 | |
Dr. Elizabeth A Albertson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3 Glen Cove Dr # 3, Rockport, ME 04856 Phone: 207-301-5400 | |
Marshall Craig Hall, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3 Glen Cove Dr Ste 3, Rockport, ME 04856 Phone: 207-301-5400 | |
Dr. Sara L Valente, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3 Glen Cove Dr, Rockport, ME 04856 Phone: 201-301-5400 |