| Dr Jaymie Fe Potenciano Panuncialman, MD | |
| 
					35 State Hospital Dr, Bangor, ME 04401-8816  | |
| (207) 561-3600 | |
| Not Available | 
| Full Name | Dr Jaymie Fe Potenciano Panuncialman | 
|---|---|
| Gender | Female | 
| Speciality | Dermatology | 
| Location | 35 State Hospital Dr, Bangor, Maine | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1548567068 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207N00000X | Dermatology | MD20891 (Maine) | Primary | 
| Entity Name | Penobscot Valley Dermatology Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1952536880 PECOS PAC ID: 7315092541 Enrollment ID: O20090911000198  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jaymie Fe Potenciano Panuncialman, MD 381 Main St, Orono, ME 04473-3446 Ph: (207) 942-0669  | Dr Jaymie Fe Potenciano Panuncialman, MD 35 State Hospital Dr, Bangor, ME 04401-8816 Ph: (207) 561-3600  | 
Dr. Jeffrey Dean Pittis, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 90 Ridgewood Dr, Bangor, ME 04401 Phone: 207-942-0669 Fax: 207-947-3143  | |
Dr. Orville Albert Hartford, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 90 Ridgewood Dr, Bangor, ME 04401 Phone: 207-942-0669 Fax: 207-947-3143  | |
Robert Wynne Haeberlein Jr., MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 700 Mount Hope Avenue Suite 601, Bangor, ME 04401 Phone: 207-942-4653 Fax: 207-990-4795  | |
Mrs. Faith Miller Whalen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 90 Ridgewood Dr, Bangor, ME 04401 Phone: 207-942-0669 Fax: 207-947-3143  | |
William F Gallagher, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1012 Union St, Bangor, ME 04401 Phone: 207-945-5247 Fax: 207-990-1248  | |
Mrs. Samantha Helene Mitchell, FNP-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 90 Ridgewood Dr, Bangor, ME 04401 Phone: 207-942-0669 Fax: 207-947-3143  |