Dr James David Bergene, MD | |
489 State St, Bangor, ME 04401-6616 | |
(207) 973-7000 | |
Not Available |
Full Name | Dr James David Bergene |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 489 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 |
---|---|---|---|
1508285909 | NPI | - | NPPES |
9000199882 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | DR.0067337 (Colorado) | Secondary |
207L00000X | Anesthesiology | 11718A (Wyoming) | Primary |
Entity Name | Campbell County Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710098868 PECOS PAC ID: 2860392529 Enrollment ID: O20040206000510 |
Entity Name | Clinical Colleagues Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134643604 PECOS PAC ID: 8729011333 Enrollment ID: O20170824002172 |
Mailing Address | Practice Location Address |
---|---|
Dr James David Bergene, MD Po Box 550, Torrington, WY 82240-0550 Ph: (307) 630-1665 | Dr James David Bergene, MD 489 State St, Bangor, ME 04401-6616 Ph: (207) 973-7000 |
Dane Hassani, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-1430 Fax: 207-907-3508 | |
Dr. Dianna Logan Branson, MD ANESTHESIOLOGIST Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000 Fax: 207-973-5042 | |
Kelly A Morgan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-262-1464 | |
Dr. Catherine Shields, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-5918 | |
David M. Clement, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-262-1464 | |
Kishore Anoop Tolani, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-5918 | |
Haithm A.s. Abdelsalam, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-275-0987 |