Dr Kevin Kavookjian, MD | |
93 Campus Ave, Lewiston, ME 04240-6030 | |
(207) 777-8700 | |
(207) 777-8826 |
Full Name | Dr Kevin Kavookjian |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 20 Years |
Location | 93 Campus Ave, Lewiston, 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 |
---|---|---|---|
1235301706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 247397 (New York) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD17781 (Maine) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
New Jersey Behavioral Health Pc | 4284001025 | 19 |
Woods Psychotherapy Services, Llc | 3476564873 | 8 |
Entity Name | Woods Psychotherapy Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841243854 PECOS PAC ID: 3476564873 Enrollment ID: O20060524000104 |
Entity Name | New Jersey Behavioral Health Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538744297 PECOS PAC ID: 4284001025 Enrollment ID: O20221108000033 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin Kavookjian, MD C/o St Marys Health System - Provider Enrollment, Po Box 7291, Lewiston, ME 04243-7291 Ph: (207) 777-8950 | Dr Kevin Kavookjian, MD 93 Campus Ave, Lewiston, ME 04240-6030 Ph: (207) 777-8700 |
Alfonso Corona, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1155 Lisbon St, Lewiston, ME 04240 Phone: 207-783-9141 | |
Dr. Paula Claire Kirby-long, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 76 High St Ste 300, Lewiston, ME 04240 Phone: 207-795-5544 Fax: 207-795-5645 | |
Kimberly P Wells, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 93 Campus Ave, Lewiston, ME 04240 Phone: 207-777-8700 Fax: 207-777-8826 | |
Dr. David A Dettmann, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 100 Campus Ave, Suite 208, Lewiston, ME 04240 Phone: 207-777-8974 Fax: 207-777-8946 | |
Dr. Luke W Ballenger Iii, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 Campus Ave, Suite 208, Lewiston, ME 04240 Phone: 207-777-8974 Fax: 207-777-8946 | |
Annabel L Bradford, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 93 Campus Ave, Lewiston, ME 04240 Phone: 207-777-8700 | |
Ira M. Shapiro, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 Campus Ave, Suite 208, Lewiston, ME 04240 Phone: 207-777-8974 Fax: 207-777-8946 |