| Dr Joseph J Minissale Jr, DO | |
|
4 Glen Cove Dr, Rockport, ME 04856-4235 | |
| (207) 301-5790 | |
| Not Available |
| Full Name | Dr Joseph J Minissale Jr |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 35 Years |
| Location | 4 Glen Cove Dr, Rockport, Maine |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366441354 | NPI | - | NPPES |
| 0016078690002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | DO2986 (Maine) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | OS007619L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Penobscot Bay Medical Center | Rockport, ME | Hospital |
| St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
| St Luke's Miners Memorial Hospital | Coaldale, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Physician Group Inc | 6709798333 | 1858 |
| Entity Name | Via Affiliates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003446261 PECOS PAC ID: 1759295512 Enrollment ID: O20031117000104 |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph J Minissale Jr, DO 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 Ph: (484) 526-6545 | Dr Joseph J Minissale Jr, DO 4 Glen Cove Dr, Rockport, ME 04856-4235 Ph: (207) 301-5790 |
Peter H Bagley, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6 Glen Cove Dr, Rockport, ME 04856 Phone: 207-301-8542 Fax: 207-301-5277 | |
Neil D. Smith, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 823 Commercial St, Rockport, ME 04856 Phone: 207-596-6599 | |
Dr. Donald J Weaver, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 4 Glen Cove Dr, Ste 104, Rockport, ME 04856 Phone: 207-594-7705 Fax: 207-594-0543 | |
Eric Elton, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4 Glen Cove Dr Ste 10, Rockport, ME 04856 Phone: 207-301-5790 Fax: 207-301-5310 | |
Victoria Hoch, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6 Glen Cove Dr, Rockport, ME 04856 Phone: 207-301-8000 | |
Heather May Arsenault, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6 Glen Cove Dr, Rockport, ME 04856 Phone: 207-301-8542 Fax: 207-301-5277 | |
Andrew E. Filderman, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4 Glen Cove Drive, Suite 200, Rockport, ME 04856 Phone: 207-301-3060 Fax: 207-301-5260 |