Stephen S Digiovanni, MD | |
22 Bramhall St, Portland, ME 04102-3134 | |
(207) 662-6179 | |
Not Available |
Full Name | Stephen S Digiovanni |
---|---|
Gender | Male |
Speciality | Pediatrics - Adolescent Medicine |
Location | 22 Bramhall St, Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649365016 | NPI | - | NPPES |
000203060 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 015471 (Maine) | Primary |
Entity Name | Maine Medical Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467477349 PECOS PAC ID: 9335043967 Enrollment ID: O20031125000026 |
Entity Name | Maine Medical Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144090 PECOS PAC ID: 9335043967 Enrollment ID: O20040331000191 |
Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Mailing Address | Practice Location Address |
---|---|
Stephen S Digiovanni, MD 137 Emery St, Portland, ME 04102-3731 Ph: (207) 415-9584 | Stephen S Digiovanni, MD 22 Bramhall St, Portland, ME 04102-3134 Ph: (207) 662-6179 |
Rushika M Conroy, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 41 Donald B Dean Dr Ste A, Portland, ME 04106 Phone: 207-661-6064 | |
Michael Alexander Ferguson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Mmc Picu, Portland, ME 04102 Phone: 207-662-6711 | |
Dr. Rute S Rothwell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-7060 | |
Kenneth Lombard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 887 Congress St, Suite 410b, Portland, ME 04102 Phone: 207-662-5522 Fax: 207-662-5526 | |
David F Cox, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2353 | |
Marie H Tanzer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St, Suite 320, Portland, ME 04102 Phone: 207-662-5522 Fax: 207-662-5527 | |
Daniel Sobel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 800-482-1415 Fax: 800-482-1415 |