Ms Therese K White, MD | |
244 Western Avenue, South Portland, ME 04106-2496 | |
(207) 775-3446 | |
(207) 879-1646 |
Full Name | Ms Therese K White |
---|---|
Gender | Female |
Speciality | Plastic And Reconstructive Surgery |
Experience | 36 Years |
Location | 244 Western Avenue, South 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 |
---|---|---|---|
1124136908 | NPI | - | NPPES |
254460099 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 013129 (Maine) | Primary |
2082S0105X | Plastic Surgery - Surgery Of The Hand | 013129 (Maine) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Maine Medical Center | Lewiston, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Maine Clinical Associates Corporation | 1850321811 | 14 |
Central Maine Medical Center | 2567379563 | 346 |
Entity Name | Bridgton Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154370153 PECOS PAC ID: 8123919099 Enrollment ID: O20040322000534 |
Entity Name | Central Maine Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441 |
Entity Name | Rumford Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205991122 PECOS PAC ID: 3870583511 Enrollment ID: O20040514000890 |
Entity Name | Central Maine Clinical Associates Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356676688 PECOS PAC ID: 1850321811 Enrollment ID: O20050818000910 |
Mailing Address | Practice Location Address |
---|---|
Ms Therese K White, MD 244 Western Avenue, South Portland, ME 04106-2496 Ph: (207) 775-3446 | Ms Therese K White, MD 244 Western Avenue, South Portland, ME 04106-2496 Ph: (207) 775-3446 |
Mr. David G Fitz, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 244 Western Ave, South Portland, ME 04106 Phone: 207-775-3446 Fax: 207-879-1646 | |
Mr. John A Attwood, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 244 Western Avenue, South Portland, ME 04106 Phone: 207-775-3446 Fax: 207-879-1646 | |
Mr. Thomas E Vaughan, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 244 Western Avenue, South Portland, ME 04106 Phone: 207-775-3446 Fax: 207-879-1646 | |
Dr. Sirish Maddali, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 244 Western Avenue, South Portland, ME 04106 Phone: 207-775-3446 Fax: 207-879-1646 | |
Mr. Richard C Flaherty, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 244 Western Avenue, South Portland, ME 04106 Phone: 207-775-3446 Fax: 207-879-1646 |