| David L Ciraulo, DO | |
|
887 Congress St., Suite 210, Portland, ME 04102 | |
| (207) 774-2344 | |
| (207) 774-0459 |
| Full Name | David L Ciraulo |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 887 Congress St., Portland, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780779132 | NPI | - | NPPES |
| 411880099 | Medicaid | ME | |
| 30223005 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 1841 (Maine) | Primary |
| Entity Name | Maine Medical Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285738310 PECOS PAC ID: 9335043967 Enrollment ID: O20040525000396 |
| 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 |
|---|---|
| David L Ciraulo, DO 190 Riverside St, Suite 6b, Portland, ME 04103-1073 Ph: (207) 661-2000 | David L Ciraulo, DO 887 Congress St., Suite 210, Portland, ME 04102 Ph: (207) 774-2344 |
Virginia A Eddy, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 887 Congress St., Portland, ME 04102 Phone: 207-774-2311 | |
Leslie S Wu, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St, Suite 400, Portland, ME 04102 Phone: 207-774-6368 Fax: 207-774-9388 | |
Dr. Benjamin Lincoln Russell, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 195 Fore River Pkwy, Suite 420, Portland, ME 04102 Phone: 207-553-6500 Fax: 207-553-6520 | |
Dr. Forest Raymond Sheppard, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St Ste 210, Portland, ME 04102 Phone: 207-774-6368 Fax: 207-774-9388 | |
Dr. Stacey Anne Rotta, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 887 Congress St, Portland, ME 04102 Phone: 207-774-6368 | |
Dr. Daniel C. Cullinane, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St Ste 210, Portland, ME 04102 Phone: 207-774-2381 | |
William E Herbert, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 887 Congress St, Suite 400, Portland, ME 04102 Phone: 207-774-6368 Fax: 207-774-9388 |