| Dominic J Maxwell, MD | |
|
15 Church St, Vineyard Haven, MA 02568 | |
| (508) 687-9592 | |
| (508) 687-9567 |
| Full Name | Dominic J Maxwell |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 30 Years |
| Location | 15 Church St, Vineyard Haven, Massachusetts |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134178106 | NPI | - | NPPES |
| 009933454 | Medicaid | AL | |
| 051530946 | Other | AL | BC BS OF AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 00025983 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairwinds-nantuckets Counseling Center | 7517997992 | 6 |
| Entity Name | Martha's Vineyard Community Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659387074 PECOS PAC ID: 4385552496 Enrollment ID: O20041214000373 |
| Entity Name | Fairwinds-nantuckets Counseling Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275621385 PECOS PAC ID: 7517997992 Enrollment ID: O20050816000352 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominic J Maxwell, MD 10 Canterbury Ln, Vineyard Haven, MA 02568-5658 Ph: (508) 687-9592 | Dominic J Maxwell, MD 15 Church St, Vineyard Haven, MA 02568 Ph: (508) 687-9592 |
Dr. Judith A Merion, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 15 Rear Church Street, Suite E-1, Vineyard Haven, MA 02568 Phone: 508-696-9089 Fax: 914-779-3910 |
Marianne G Goldsmith, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 41 Hidden Hill Ln, Vineyard Haven, MA 02568 Phone: 508-696-8015 |