| Dr Jacquelyn A Hedlund, MD | |
|
100 Campus Drive, Suite 108, Scarborough, ME 04074-9308 | |
| (207) 396-7600 | |
| (207) 396-7986 |
| Full Name | Dr Jacquelyn A Hedlund |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Hematology |
| Location | 100 Campus Drive, Scarborough, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699746453 | NPI | - | NPPES |
| 5656679 | Other | ME | AETNA |
| 6628849 | Other | ME | CIGNA |
| 2017782 | Other | ME | AETNA HMO |
| 030520 | Other | ME | ANTHEM BCBS |
| 288720099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 13509 (Maine) | Secondary |
| 207RH0000X | Internal Medicine - Hematology | 13509 (Maine) | Primary |
| Entity Name | Portland Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609120856 PECOS PAC ID: 5395998017 Enrollment ID: O20130206000120 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacquelyn A Hedlund, MD P.o. Box 911, Brattleboro, VT 05302 Ph: (207) 396-7600 | Dr Jacquelyn A Hedlund, MD 100 Campus Drive, Suite 108, Scarborough, ME 04074-9308 Ph: (207) 396-7600 |
Jamal Choudhary, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 49 Spring St Ste 201, Scarborough, ME 04074 Phone: 207-883-3491 Fax: 207-618-5026 | |
Dr. Mary C. Fahrenbach, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 96 Campus Drive, Suite 1, Scarborough, ME 04074 Phone: 207-885-9905 Fax: 207-396-5600 | |
Dr. Mylan C. Cohen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 96 Campus Drive, Suite 1, Scarborough, ME 04074 Phone: 207-885-9905 Fax: 207-396-5600 | |
Mirle A Kellett, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 96 Campus Dr, Suite 1, Scarborough, ME 04074 Phone: 207-396-5611 | |
Dr. Warren D Alpern, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 96 Campus Dr, Suite 1, Scarborough, ME 04074 Phone: 207-396-5611 | |
Susan Miesfeldt, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Campus Drive, Suite 110, Scarborough, ME 04074 Phone: 207-396-7678 Fax: 207-396-8766 | |
Andrew Heppe, Internal Medicine Medicare: Medicare Enrolled Practice Location: 300 Professional Dr Ste 2b, Scarborough, ME 04074 Phone: 207-883-3491 |