Mr Michael Samuel, MD | |
489 State St, Bangor, ME 04401-6616 | |
(207) 973-7000 | |
Not Available |
Full Name | Mr Michael Samuel |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 489 State St, Bangor, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275996779 | NPI | - | NPPES |
1275996779 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD27155 (Maine) | Primary |
Entity Name | Spectrum Healthcare Partners Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710993159 PECOS PAC ID: 7618871245 Enrollment ID: O20040920000406 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Samuel, MD 324 Gannett Dr Ste 200, South Portland, ME 04106-3266 Ph: (072) 482-7800 | Mr Michael Samuel, MD 489 State St, Bangor, ME 04401-6616 Ph: (207) 973-7000 |
Dr. Daniel O Hogenauer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-8305 | |
Todd Greenberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-482-7800 | |
Affan Umer, M.B.B.S Radiology Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-953-7000 | |
Benjamin R. Bamford, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-8150 | |
Ms. Tiffany Elaine Cunningham, RDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7471 | |
Thomas W Cubberley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-8150 | |
Guillermo Olivos, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-8150 |