| Dr Brian Randall Ewy, DO | |
|
21 Rivers Edge Dr, Kennebunk, ME 04043-7739 | |
| (207) 967-2745 | |
| Not Available |
| Full Name | Dr Brian Randall Ewy |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 27 Years |
| Location | 21 Rivers Edge Dr, Kennebunk, Maine |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205878857 | NPI | - | NPPES |
| 1415863 | Medicaid | LA | |
| 1205878857 | Other | TRICARE NORTH | |
| 7100081200 | Medicaid | KY | |
| 7617011 | Medicaid | NC | |
| 432215499 | Medicaid | ME | |
| Q01835 | Medicaid | SC | |
| DO1835 | Other | ME | PHYSICIAN LICENSE |
| 1025758980002 | Medicaid | PA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lehigh Valley Hospital | Allentown, PA | Hospital |
| Lehigh Valley Hospital - Pocono | East stroudsburg, PA | Hospital |
| Lehigh Valley Hospital - Hazleton | Hazleton, PA | Hospital |
| Lehigh Valley Hospital-schuylkill | Pottsville, PA | Hospital |
| Lehigh Valley Hospital - Macungie | Macungie, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lawrence Radiology Assoc Pc | 2264421122 | 25 |
| Lehigh Valley Physician Group | 3072425123 | 2512 |
| Medical Imaging Of Lehigh Valley Pc | 1557265212 | 115 |
| Medical Imaging Of Lehigh Valley Pc | 1557265212 | 115 |
| Redington-fairview General Hospital | 9133018740 | 50 |
| Entity Name | St Lawrence Radiology Assoc PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154380863 PECOS PAC ID: 2264421122 Enrollment ID: O20040507000290 |
| Entity Name | Olean Radiology, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700829850 PECOS PAC ID: 9133118862 Enrollment ID: O20040508000177 |
| Entity Name | Upstate Radiology PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508241878 PECOS PAC ID: 0244538015 Enrollment ID: O20160418000201 |
| Entity Name | Imaging Subspecialist of New York |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124655352 PECOS PAC ID: 4688089451 Enrollment ID: O20210209002443 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Randall Ewy, DO Po Box 468, Skowhegan, ME 04976-0468 Ph: (207) 858-8358 | Dr Brian Randall Ewy, DO 21 Rivers Edge Dr, Kennebunk, ME 04043-7739 Ph: (207) 967-2745 |