| Dr Brian Cusick, MD | |
|
35 Medical Center Pkwy, Augusta, ME 04330-8160 | |
| (207) 622-8600 | |
| Not Available |
| Full Name | Dr Brian Cusick |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 35 Medical Center Pkwy, Augusta, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174578793 | NPI | - | NPPES |
| 2031349 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 35072971 (Ohio) | Secondary |
| 207Y00000X | Otolaryngology | 2022048714 (Missouri) | Secondary |
| 207Y00000X | Otolaryngology | MD26424 (Maine) | Primary |
| Entity Name | Trihealth G Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295862944 PECOS PAC ID: 0749222651 Enrollment ID: O20050601000358 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Cusick, MD 4600 Wesley Ave, Ste N, Cincinnati, OH 45212-2298 Ph: (513) 246-7800 | Dr Brian Cusick, MD 35 Medical Center Pkwy, Augusta, ME 04330-8160 Ph: (207) 622-8600 |
Dr. William Diehl Jr., M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 79 Arsenal St, Augusta, ME 04330 Phone: 207-622-1445 | |
Dr. Erwin Bartholomeus Seywerd, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 79 Arsenal St, Augusta, ME 04330 Phone: 207-622-1445 Fax: 207-622-4661 | |
Dr. Debra Ann Gonzalez, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 35 Medical Center Pkwy, Augusta, ME 04330 Phone: 207-622-8600 Fax: 207-622-8601 |