Todd E Heaton, MD | |
417 State St., Suite 305, Webber East, Bangor, ME 04401 | |
(120) 797-3995 | |
(207) 973-9003 |
Full Name | Todd E Heaton |
---|---|
Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 417 State St., Bangor, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568656957 | NPI | - | NPPES |
MD24997 | Other | ME | STATE MEDICAL BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD428905 (Michigan) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | MD428905 (Pennsylvania) | Primary |
Entity Name | Mskcc Surgery Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699766261 PECOS PAC ID: 0345131405 Enrollment ID: O20040320000446 |
Mailing Address | Practice Location Address |
---|---|
Todd E Heaton, MD 43 Whiting Hill Rd Ste 300, Brewer, ME 04412-1006 Ph: (207) 973-5000 | Todd E Heaton, MD 417 State St., Suite 305, Webber East, Bangor, ME 04401 Ph: (120) 797-3995 |
Dr. Pedro Pablo Gomez Valencia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-3650 Fax: 207-907-3660 | |
Dr. Peter Beaulieu, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000 | |
Dr. Gary A Keller, M.D. PH.D Surgery Medicare: Medicare Enrolled Practice Location: 417 State St Ste 421, Bangor, ME 04401 Phone: 207-973-5293 Fax: 207-973-5263 | |
Marie V Nguyen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000 | |
Dr. Brad Edward Waddell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 417 State St, Suite 330 Webber East, Bangor, ME 04401 Phone: 207-973-8881 Fax: 207-973-8880 | |
Joanmarie Dietz Pellegrini, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-3650 Fax: 207-907-3660 | |
Maria Michailidou, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 417 State St Ste 330, Bangor, ME 04401 Phone: 207-973-8881 |