Oto Prokop, MD | |
46 Fairview Ave Ste 111, Skowhegan, ME 04976-1481 | |
(207) 474-0905 | |
(207) 474-6930 |
Full Name | Oto Prokop |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 46 Fairview Ave Ste 111, Skowhegan, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083631014 | NPI | - | NPPES |
1083631014 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD15742 (Maine) | Primary |
Entity Name | Redington-fairview General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174549133 PECOS PAC ID: 9133018740 Enrollment ID: O20040312000119 |
Mailing Address | Practice Location Address |
---|---|
Oto Prokop, MD Po Box 468, Skowhegan, ME 04976-0468 Ph: (207) 474-0905 | Oto Prokop, MD 46 Fairview Ave Ste 111, Skowhegan, ME 04976-1481 Ph: (207) 474-0905 |
Donna Conkling, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 46 Fairview Ave, Suite 111, Skowhegan, ME 04976 Phone: 207-474-0905 Fax: 207-474-6930 | |
Dr. Michael J Monzel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 46 Fairview Ave Ste 221, Skowhegan, ME 04976 Phone: 207-474-6945 Fax: 207-474-6933 | |
Dr. Paraschos Archontakis Barakakis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 46 Fairview Ave, Skowhegan, ME 04976 Phone: 207-474-5121 Fax: 207-858-2415 | |
Daniel Stevenson Stadler, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 23 Cedar Ridge Dr, Skowhegan, ME 04976 Phone: 207-474-9686 | |
Dr. Rajdeep Brar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 46 Fairview Ave, Skowhegan, ME 04976 Phone: 207-474-5121 | |
Dr. David N Abisalih, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Fairview Ave, Skowhegan, ME 04976 Phone: 207-858-8121 Fax: 207-474-3648 |