| Donald R Burgess, MD | |
|
3 Shape Dr, Kennebunk, ME 04043-6601 | |
| (207) 467-8983 | |
| (207) 467-8981 |
| Full Name | Donald R Burgess |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
| Location | 3 Shape Dr, Kennebunk, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336101104 | NPI | - | NPPES |
| 248080099 | Medicaid | ME | |
| 1041865 | Other | ME | AETNA |
| MNT053 | Other | ME | HARVARD PILGRIM |
| 018435 | Other | ME | ANTHEM |
| 30208022 | Medicaid | NH | |
| 610036401 | Other | ME | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 014097 (Maine) | Secondary |
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 014097 (Maine) | Primary |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Entity Name | Southern Maine Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659392819 PECOS PAC ID: 0143208348 Enrollment ID: O20040713001060 |
| Mailing Address | Practice Location Address |
|---|---|
| Donald R Burgess, MD 1 Medical Center Dr, P.o. Box 626, Biddeford, ME 04005-9422 Ph: (207) 282-9080 | Donald R Burgess, MD 3 Shape Dr, Kennebunk, ME 04043-6601 Ph: (207) 467-8983 |
Lisa Gouldsbrough, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3 Shape Drive, 2nd Floor, Kennebunk, ME 04043 Phone: 207-467-8930 Fax: 467-985-8459 | |
Christopher Rogers, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3 Shape Dr, Kennebunk, ME 04043 Phone: 207-467-8930 | |
Dr. Barry Hugo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Shape Dr, Kennebunk, ME 04043 Phone: 207-467-8955 Fax: 207-467-8959 | |
Dr. Deirdre Burns Mondor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3 Shape Dr, Kennebunk, ME 04043 Phone: 207-467-8930 |