Suzanne Marie Nelson, MD | |
59 Bangor St, Houlton, ME 04730-1740 | |
(207) 521-0615 | |
(207) 528-2880 |
Full Name | Suzanne Marie Nelson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 59 Bangor 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 |
---|---|---|---|
1508885989 | NPI | - | NPPES |
068760 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 13119 (New Hampshire) | Primary |
Entity Name | Houlton Regional Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386804268 PECOS PAC ID: 0042127946 Enrollment ID: O20041123000733 |
Mailing Address | Practice Location Address |
---|---|
Suzanne Marie Nelson, MD Po Box 500, Patten, ME 04765-0500 Ph: (207) 521-0615 | Suzanne Marie Nelson, MD 59 Bangor St, Houlton, ME 04730-1740 Ph: (207) 521-0615 |
Rosalinda M Maraya, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22 Hartford St, Houlton, ME 04730 Phone: 207-532-2234 Fax: 207-532-2235 | |
Dr. Adwoa Manu-boateng, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 20 Hartford St, Houlton, ME 04730 Phone: 207-532-2900 | |
Andrea L Vianna, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 59 Bangor St, Houlton, ME 04730 Phone: 207-528-2285 Fax: 207-528-2880 | |
Joseph P Fahey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 22 Hartford St, Houlton, ME 04730 Phone: 207-532-2234 Fax: 207-532-2234 |