| Dr Barry Hugo, MD | |
|
4 Shape Dr, Kennebunk, ME 04043-6601 | |
| (207) 467-8955 | |
| (207) 467-8959 |
| Full Name | Dr Barry Hugo |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 4 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 |
|---|---|---|---|
| 1295799500 | NPI | - | NPPES |
| 048516 | Other | LA | ANTHEM |
| 273830099 | Medicaid | ME | |
| AA21113 | Other | ME | HARVARD PILGRIM |
| 3615048 | Other | ME | AETNA |
| 8254567 | Other | ME | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 016241 (Maine) | Primary |
| Entity Name | Children's Hospital Pediatric Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Barry Hugo, MD 14 Prospect St, Milford, MA 01757-3003 Ph: (508) 422-2631 | Dr Barry Hugo, MD 4 Shape Dr, Kennebunk, ME 04043-6601 Ph: (207) 467-8955 |
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 | |
Donald R Burgess, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3 Shape Dr, Kennebunk, ME 04043 Phone: 207-467-8983 Fax: 207-467-8981 | |
Dr. Deirdre Burns Mondor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3 Shape Dr, Kennebunk, ME 04043 Phone: 207-467-8930 |