Timothy A Theobald, DO | |
25a June St Ste 111, Sanford, ME 04073-2642 | |
(207) 490-7998 | |
Not Available |
Full Name | Timothy A Theobald |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 30 Years |
Location | 25a June St Ste 111, Sanford, Maine |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104895648 | NPI | - | NPPES |
280450099 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1523 (Maine) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mainehealth Care At Home | Saco, ME | Home health agency |
Hospice Of Southern Maine | Scarborough, ME | Hospice |
Southern Maine Health Care | Biddeford, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mainehealth | 7517860588 | 2109 |
Entity Name | Mainehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Entity Name | Southern Maine Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659392819 PECOS PAC ID: 0143208348 Enrollment ID: O20040713001060 |
Mailing Address | Practice Location Address |
---|---|
Timothy A Theobald, DO 1 Medical Center Dr, Biddeford, ME 04005-9422 Ph: (207) 282-9080 | Timothy A Theobald, DO 25a June St Ste 111, Sanford, ME 04073-2642 Ph: (207) 490-7998 |
Mary L Callison, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Goodall Drive, Sanford, ME 04073 Phone: 207-490-7790 | |
Amanda Reavis Gibson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 25a June St Ste 111, Sanford, ME 04073 Phone: 207-490-7998 | |
Steven J Schneider, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25a June St, Sanford, ME 04073 Phone: 207-324-8311 Fax: 207-324-7899 | |
Melissa Ifantides, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25a June St, Suite 101, Sanford, ME 04073 Phone: 207-490-7998 | |
William F Frank, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 14 Winter St, Sanford, ME 04073 Phone: 207-324-3226 Fax: 207-324-4088 | |
James Edward Chlebowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25a June St, Sanford, ME 04073 Phone: 207-490-7731 Fax: 207-490-7028 |