| Intermed, Pa | |
|
84 Marginal Way Portland ME 04101-2443 | |
| (207) 774-5816 | |
| (207) 523-8597 |
| Full Name | Intermed, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 84 Marginal Way, Portland, Maine |
| Authorized Official Name and Position | William G Ferentz (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2075233648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intermed, Pa 100 Gannett Dr Suite C South Portland ME 04106-5900 Ph: (207) 828-0361 | Intermed, Pa 84 Marginal Way Portland ME 04101-2443 Ph: (207) 774-5816 |
| NPI Number | 1336538198 |
|---|---|
| Provider Enumeration Date | 01/16/2015 |
| Last Update Date | 07/15/2021 |
| Medicare PECOS PAC ID | 5092605261 |
|---|---|
| Medicare Enrollment ID | O20150331001603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336538198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
Daniel Mark Merson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Forest Ave, Portland, ME 04103 Phone: 207-878-5042 Fax: 207-878-5043 | |
John Stanhope Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 Brighton Ave, Portland, ME 04102 Phone: 207-774-2677 Fax: 207-774-5895 | |
City Of Portland Hhs, Phd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 389 Congress St, Room 307, Portland, ME 04101 Phone: 207-874-8784 | |
Michael L. Shuman, M.d.p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Mellen St, Portland, ME 04101 Phone: 207-774-3835 Fax: 207-774-2176 | |
Maine Medical Center Infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-3067 | |
Maurice C. Hothem, Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Auburn St, Portland, ME 04103 Phone: 207-797-4148 Fax: 207-797-5730 | |
Fore River Family Medicine, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 Sewall St, Portland, ME 04102 Phone: 207-772-8823 Fax: 207-772-1856 |