| Dr Jonathan Bausman, DO | |
|
259 Main St, Yarmouth, ME 04096-4703 | |
| (207) 846-9602 | |
| Not Available |
| Full Name | Dr Jonathan Bausman |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 259 Main St, Yarmouth, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548402332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2220 (Maine) | Primary |
| Entity Name | Intermed Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467422733 PECOS PAC ID: 5092605261 Enrollment ID: O20040319000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Bausman, DO 259 Main St, Yarmouth, ME 04096-4703 Ph: (207) 846-9602 | Dr Jonathan Bausman, DO 259 Main St, Yarmouth, ME 04096-4703 Ph: (207) 846-9602 |
Jennifer Power, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 45 Forest Falls Drive, Yarmouth, ME 04096 Phone: 207-846-9761 | |
Stephen B Jacobs, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 259 Main St, Yarmouth, ME 04096 Phone: 207-846-9602 Fax: 207-523-8586 | |
Jeffrey B Peterson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 259 Main Street, Yarmouth, ME 04096 Phone: 207-846-9602 Fax: 207-846-6714 | |
Edward Silco, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 45 Forest Falls Dr, Yarmouth, ME 04096 Phone: 207-846-9761 Fax: 207-846-9763 | |
Julia D. Lockwood, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 45 Forest Falls Drive, Yarmouth, ME 04096 Phone: 207-846-9761 |