Stephen M Raph, MD | |
20 Hartford St, Houlton, ME 04730-1891 | |
(207) 532-2900 | |
(207) 532-5974 |
Full Name | Stephen M Raph |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 20 Hartford St, Houlton, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033175971 | NPI | - | NPPES |
7444248 | Other | AETNA NON-HMO | |
2628464 | Other | AETNA HMO | |
MN4465 | Other | HARVARD PILGRIM | |
027909 | Other | ME | ANTHEM BC/BS MAINE |
312390099 | Medicaid | ME | |
110224937 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 015588 (Maine) | Primary |
208M00000X | Hospitalist | 015588 (Maine) | Secondary |
Entity Name | Mainegeneral Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718 |
Mailing Address | Practice Location Address |
---|---|
Stephen M Raph, MD 22 Hartford St, Houlton, ME 04730-1844 Ph: (207) 532-4068 | Stephen M Raph, MD 20 Hartford St, Houlton, ME 04730-1891 Ph: (207) 532-2900 |
Jon C Older, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Hartford St, Houlton, ME 04730 Phone: 207-532-2900 Fax: 207-532-5974 | |
Hassan E Abouleish, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Hartford St, Sigrid E Tompkins Health Center, Houlton, ME 04730 Phone: 207-532-4068 Fax: 207-532-5974 | |
Mr. Larry J Sokolic, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Hatford St, Houlton, ME 04730 Phone: 218-463-1365 Fax: 218-463-4712 | |
Thomas J. Ryan, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Hartford St, Houlton, ME 04730 Phone: 207-532-2900 Fax: 207-532-5974 | |
Ted L Sussman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Hartford St, Sigrid E Tompkins Health Center, Houlton, ME 04730 Phone: 207-532-4068 Fax: 207-532-5974 |