| Dr Holly Weymouth Fanjoy, MD | |
|
489 State St, Bangor, ME 04401 | |
| (207) 973-7000 | |
| (207) 973-5042 |
| Full Name | Dr Holly Weymouth Fanjoy |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 21 Years |
| Location | 489 State St, Bangor, Maine |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770601528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD17843 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastern Maine Medical Center | Bangor, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eastern Maine Medical Center | 2062315161 | 596 |
| Entity Name | Eastern Maine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088 |
| Entity Name | St Joseph Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154321545 PECOS PAC ID: 6406766336 Enrollment ID: O20040604000895 |
| Entity Name | Eastern Maine Healthcare Systems Inland Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376579557 PECOS PAC ID: 6305817503 Enrollment ID: O20040802001656 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Holly Weymouth Fanjoy, MD Po Box 7291, Lewiston, ME 04243-7291 Ph: (207) 777-8941 | Dr Holly Weymouth Fanjoy, MD 489 State St, Bangor, ME 04401 Ph: (207) 973-7000 |
James Hildebrand, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-1703 Fax: 207-907-1921 | |
Mr. Angus Lee Hollander Beal, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-8000 Fax: 207-973-7985 | |
Ivan King, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-262-1703 Fax: 207-262-1106 | |
Dr. Ellen W White, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Emergency Department, Bangor, ME 04401 Phone: 207-973-7250 Fax: 207-973-5656 | |
Rose Mengual, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-5199 | |
Dr. Ruth A Fogler, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-8000 Fax: 207-973-5656 | |
Christian Andersen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-3000 Fax: 207-907-1921 |