| Benjamin D Liess, MD | |
|
100 Foden Rd, West, Suite 100, South Portland, ME 04106-2327 | |
| (207) 347-2910 | |
| (207) 523-8591 |
| Full Name | Benjamin D Liess |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 22 Years |
| Location | 100 Foden Rd, West, South Portland, 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 |
|---|---|---|---|
| 1265536445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 2009014370 (Missouri) | Secondary |
| 207Y00000X | Otolaryngology | MD18388 (Maine) | Primary |
| 207Y00000X | Otolaryngology | T2004016418 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northern Light Mercy Hospital | Portland, ME | Hospital |
| Entity Name | Benjamin Liess Ent Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518431642 PECOS PAC ID: 8820337389 Enrollment ID: O20190227001313 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin D Liess, MD 144 Us Route 1 Ste 1, Scarborough, ME 04074-7219 Ph: (207) 415-4841 | Benjamin D Liess, MD 100 Foden Rd, West, Suite 100, South Portland, ME 04106-2327 Ph: (207) 347-2910 |
Dr. Michael Nmi Knowland, MD,FACS Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 130 Clifford St, South Portland, ME 04106 Phone: 207-799-8628 Fax: 207-767-6089 | |
Dr. Brandon Chiu, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 100 Foden Rd Ste 100, South Portland, ME 04106 Phone: 207-347-2910 Fax: 207-523-8593 |