| Southern Maine Gastroenterology, Llc | |
|
10 Storer St Unit 106, Lafayette Center Kennebunk ME 04043-6875 | |
| (207) 467-9156 | |
| (207) 467-9157 |
| Full Name | Southern Maine Gastroenterology, Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 10 Storer St, Kennebunk, Maine |
| Authorized Official Name and Position | John Thompson (PROVIDER) |
| Authorized Official Contact | 2074679156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Maine Gastroenterology, Llc Pmb 2700 4 Scammon St, Suite 19 Saco ME 04072 Ph: (207) 282-4704 | Southern Maine Gastroenterology, Llc 10 Storer St Unit 106, Lafayette Center Kennebunk ME 04043-6875 Ph: (207) 467-9156 |
| NPI Number | 1609941509 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 05/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609941509 | NPI | - | NPPES |
| 1428193 | Other | AETNA | |
| 878196 | Other | ME | CIGNA |
| 432448100 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 208C00000X | Colon & Rectal Surgery | (* (Not Available)) | Secondary |
Jonathan Shill Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 Barnard Ln, Kennebunk, ME 04043 Phone: 207-502-7074 Fax: 207-502-7079 | |
Internal Medicine Of Southern Maine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Independence Dr Ste B, Kennebunk, ME 04043 Phone: 207-671-2143 | |
The Medical Group Department Of Goodall Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Shape Dr, Kennebunk, ME 04043 Phone: 207-985-7174 Fax: 207-985-1304 | |
Graceful Recovery Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 58 Portland Rd, Suite 18, Kennebunk, ME 04043 Phone: 207-604-5034 | |
Family Practice On The River Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 62 Portland Rd Ste 47, Kennebunk, ME 04043 Phone: 207-502-7386 Fax: 207-502-7661 | |
Jonathan Shill Md Ph.d, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 26 Barnard Ln, Kennebunk, ME 04043 Phone: 207-502-7074 Fax: 207-502-7079 | |
Southern Maine Gastroenterology, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Storer St Unit 106, Lafayette Center, Kennebunk, ME 04043 Phone: 207-467-9156 Fax: 207-467-9157 |