| Dr Bailey Iva Ditmer, DO | |
|
181 Main St, Norway, ME 04268-5664 | |
| (207) 743-5933 | |
| (207) 743-1566 |
| Full Name | Dr Bailey Iva Ditmer |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 181 Main St, Norway, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023545613 | NPI | - | NPPES |
| 5101024534 | Other | MI | STATE LICENSE |
| DO3206 | Other | ME | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | DO3206 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bailey Iva Ditmer, DO 181 Main St, Norway, ME 04268-5664 Ph: (207) 743-5933 | Dr Bailey Iva Ditmer, DO 181 Main St, Norway, ME 04268-5664 Ph: (207) 743-5933 |
John H Simmons, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 181 Main St, Norway, ME 04268 Phone: 207-743-5933 Fax: 207-744-0427 | |
Dr. Thomas James Hewson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 181 Main St, Norway, ME 04268 Phone: 207-743-5933 | |
Russell D Florenz, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 181 Main St, Norway, ME 04268 Phone: 207-743-5933 | |
Charles W Little, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 181 Main St, Norway, ME 04268 Phone: 207-743-5933 | |
Matthew S Kerr, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 181 Main St, Norway, ME 04268 Phone: 207-743-5933 Fax: 207-743-1566 | |
Tobin M Piker, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 181 Main St, Norway, ME 04268 Phone: 207-743-5933 |