| Dr Macario F Lichauco, MD | |
|
489 State St, Kelly 6 Eastern Maine Medical Center, Bangor, ME 04401-6616 | |
| (207) 973-8670 | |
| (207) 973-5163 |
| Full Name | Dr Macario F Lichauco |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 489 State St, 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 |
|---|---|---|---|
| 1821026055 | NPI | - | NPPES |
| 0033779 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35149711 (Ohio) | Secondary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 015508 (Maine) | Secondary |
| 208M00000X | Hospitalist | 35149711 (Ohio) | Primary |
| Entity Name | Pediatric Academic Association, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Macario F Lichauco, MD 489 State St, Kelly 6 Eastern Maine Medical Center, Bangor, ME 04401-6616 Ph: (207) 973-8670 | Dr Macario F Lichauco, MD 489 State St, Kelly 6 Eastern Maine Medical Center, Bangor, ME 04401-6616 Ph: (207) 973-8670 |
Dr. Leonard C Moneke, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000 Fax: 207-973-5042 | |
Dr. James M Mccarthy, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000 Fax: 207-973-5042 | |
Dr. Alexandra Craig, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 992 Union St, Bangor, ME 04401 Phone: 207-945-5247 | |
Dr. Savitha Rajan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000 Fax: 207-973-5042 | |
Pradeep S Paul, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-3215 Fax: 207-907-1795 | |
Toyiba Hussain Syed, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-6252 Fax: 207-973-5042 | |
Moataz Mohamed Nazmy Abdelnaby, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 646-257-8929 |