Phyllidia M Ku-ruth, MD | |
84 Marginal Way, Suite 800, Portland, ME 04101-2443 | |
(207) 774-5816 | |
(207) 774-7831 |
Full Name | Phyllidia M Ku-ruth |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 27 Years |
Location | 84 Marginal Way, 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 |
---|---|---|---|
1497724108 | NPI | - | NPPES |
2456790 | Other | AETNA | |
309140099 | Medicaid | ME | |
061137 | Other | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 015348 (Maine) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Maine Medical Center | Portland, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermed Pa | 5092605261 | 153 |
Entity Name | Intermed Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467422733 PECOS PAC ID: 5092605261 Enrollment ID: O20040319000548 |
Mailing Address | Practice Location Address |
---|---|
Phyllidia M Ku-ruth, MD 100 Foden Rd W, Suite 203, South Portland, ME 04106-2319 Ph: (207) 828-0361 | Phyllidia M Ku-ruth, MD 84 Marginal Way, Suite 800, Portland, ME 04101-2443 Ph: (207) 774-5816 |
Andrew J. Hsu, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 155 Fore River Pkwy, Portland, ME 04102 Phone: 207-535-1100 Fax: 207-879-8787 | |
David A Polisner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000 | |
Brian D Moore, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000 | |
Marc Stuart Hoffman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3265 | |
Janet D Mcculley, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-4618 | |
Saeeda Fatima, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St Rm 2227, Portland, ME 04102 Phone: 207-662-4618 | |
Dr. Thalia Mayes, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 161 Marginal Way, Portland, ME 04101 Phone: 207-773-7964 Fax: 207-773-9073 |