| Clark E Judge, MD | |
|
100 Brickhill Ave Ste 201, South Portland, ME 04106-1999 | |
| (207) 773-1728 | |
| Not Available |
| Full Name | Clark E Judge |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 8 Years |
| Location | 100 Brickhill Ave Ste 201, 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 |
|---|---|---|---|
| 1295264307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 74011 (Connecticut) | Secondary |
| 208800000X | Urology | 125.070949 (Illinois) | Secondary |
| 208800000X | Urology | MD28197 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Maine Medical Center | Portland, ME | Hospital |
| Stephens Memorial Hospital | Norway, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mainehealth | 7517860588 | 2288 |
| Select Physical Therapy Holdings Inc | 9537076401 | 1463 |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Clark E Judge, MD 100 Brickhill Ave Ste 201, South Portland, ME 04106-1999 Ph: (207) 773-1728 | Clark E Judge, MD 100 Brickhill Ave Ste 201, South Portland, ME 04106-1999 Ph: (207) 773-1728 |
Stephen Thomas Ryan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Brickhill Ave, South Portland, ME 04106 Phone: 207-773-1728 Fax: 207-773-8153 | |
Lily C Wang, M.D., PHD Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Brickhill Ave, South Portland, ME 04106 Phone: 207-773-1728 | |
Dr. Lisa T Beaule, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Brickhill Ave, South Portland, ME 04106 Phone: 207-773-1728 Fax: 207-772-4062 | |
Dr. Sanchita Bose, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Brickhill Ave, South Portland, ME 04106 Phone: 207-773-1728 | |
Brian M Jumper, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 100 Brickhill Avenue, South Portland, ME 04106 Phone: 207-773-1728 Fax: 207-772-4062 | |
Moritz H Hansen, MD Urology Medicare: Medicare Enrolled Practice Location: 100 Brickhill Avenue, South Portland, ME 04106 Phone: 207-773-1728 Fax: 207-772-4062 |