Dr Brian Randall Ewy, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Kennebunk, Maine. He went to University Of New England, College Of Osteo Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Maritime Radiology Associates Pc, Olean Radiology Pc, St Lawrence Radiology Assoc Pc, Upstate Radiology Pc and his current practice location is
21 Rivers Edge Dr, Kennebunk, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 967-2745.
Dr Brian Randall Ewy is licensed to practice in Maine (license number 1835) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205878857.
Physician's Profile
Full Name | Dr Brian Randall Ewy |
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Gender | Male |
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Speciality | Diagnostic Radiology |
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Experience | 25 Years |
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Location | 21 Rivers Edge Dr, Kennebunk, Maine |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Brian Randall Ewy attended and graduated from University Of New England, College Of Osteo Medicine in 1999
NPI Data:
- NPI Number: 1205878857
- Provider Enumeration Date: 06/11/2006
- Last Update Date: 06/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 0042219636
- Enrollment ID: I20061208000222
Medical Identifiers
Medical identifiers for Dr Brian Randall Ewy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205878857 | NPI | - | NPPES |
1415863 | Medicaid | LA | |
7100081200 | Medicaid | KY | |
7617011 | Medicaid | NC | |
432215499 | Medicaid | ME | |
Q01835 | Medicaid | SC | |
1205878857 | Other | | TRICARE NORTH |
1025758980002 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 58575 (Tennessee) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 1835 (Maine) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | OS9950 (Florida) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Maritime Radiology Associates Pc | 2961566989 | 8 |
Olean Radiology Pc | 9133118862 | 36 |
St Lawrence Radiology Assoc Pc | 2264421122 | 27 |
Upstate Radiology Pc | 0244538015 | 8 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Brian Randall Ewy allows following entities to bill medicare on his behalf.
Entity Name | Maritime Radiology Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760628358 PECOS PAC ID: 2961566989 Enrollment ID: O20090205000301 |
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Entity Name | Spirit Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275072662 PECOS PAC ID: 8022922202 Enrollment ID: O20190204000531 |
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Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558313023 PECOS PAC ID: 5395657001 Enrollment ID: O20190321000041 |
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Entity Name | Charlotte Radiology Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649220443 PECOS PAC ID: 4587577390 Enrollment ID: O20200409000385 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Brian Randall Ewy is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Brian Randall Ewy, DO 23625 Commerce Park, Ste 204, Beachwood, OH 44122-5845 Ph: (216) 255-5743 | Dr Brian Randall Ewy, DO 21 Rivers Edge Dr, Kennebunk, ME 04043-7739 Ph: (207) 967-2745 |
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