Mrs Diane K Stoller, | |
144 State Street, Mercy Hospital, Portland, ME 04101-3795 | |
(207) 553-6808 | |
Not Available |
Full Name | Mrs Diane K Stoller |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 41 Years |
Location | 144 State Street, 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 |
---|---|---|---|
1134207160 | NPI | - | NPPES |
04Q32ST | Other | MN | BLUE CROSS BLUE SHIELD |
154585000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 30027 (Minnesota) | Primary |
282NC0060X | General Acute Care Hospital - Critical Access | MD21011 (Maine) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Northern Light Mercy Hospital | Portland, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Hospital | 6103737812 | 229 |
Entity Name | Mercy Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629078712 PECOS PAC ID: 6103737812 Enrollment ID: O20040217000943 |
Mailing Address | Practice Location Address |
---|---|
Mrs Diane K Stoller, 144 State Street, Mercy Hospital, Portland, ME 04101-3795 Ph: () - | Mrs Diane K Stoller, 144 State Street, Mercy Hospital, Portland, ME 04101-3795 Ph: (207) 553-6808 |
Virginia A Eddy, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 887 Congress St., Portland, ME 04102 Phone: 207-774-2311 | |
Leslie S Wu, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St, Suite 400, Portland, ME 04102 Phone: 207-774-6368 Fax: 207-774-9388 | |
Dr. Benjamin Lincoln Russell, DO Surgery Medicare: Medicare Enrolled Practice Location: 195 Fore River Pkwy, Suite 420, Portland, ME 04102 Phone: 207-553-6500 Fax: 207-553-6520 | |
Dr. Forest Raymond Sheppard, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St Ste 210, Portland, ME 04102 Phone: 207-774-6368 Fax: 207-774-9388 | |
Dr. Stacey Anne Rotta, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St, Portland, ME 04102 Phone: 207-774-6368 | |
Dr. Laura Teresa Withers, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St Ste 210, Portland, ME 04102 Phone: 207-774-2381 | |
Ms. Daly Anne Johnson, PA-C Surgery Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111 |