| Dr Debra Ann Gonzalez, MD | |
|
35 Medical Center Pkwy, Augusta, ME 04330-8160 | |
| (207) 622-8600 | |
| (207) 622-8601 |
| Full Name | Dr Debra Ann Gonzalez |
|---|---|
| Gender | Female |
| 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 |
|---|---|---|---|
| 1881924462 | NPI | - | NPPES |
| 1881924462 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 2015013467 (Missouri) | Secondary |
| 207Y00000X | Otolaryngology | MD23321 (Maine) | Primary |
| Entity Name | Mainegeneral Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Debra Ann Gonzalez, MD 35 Medical Center Pkwy, Augusta, ME 04330-8160 Ph: (207) 622-8600 | Dr Debra Ann Gonzalez, MD 35 Medical Center Pkwy, Augusta, ME 04330-8160 Ph: (207) 622-8600 |
Dr. Brian Cusick, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 35 Medical Center Pkwy, Augusta, ME 04330 Phone: 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 |