| Dr Michael Daniel Vinograd, | |
|
25 Hospital Dr, Bridgton, ME 04009-1167 | |
| (207) 647-4232 | |
| (207) 647-6016 |
| Full Name | Dr Michael Daniel Vinograd |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 25 Hospital Dr, Bridgton, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184989899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD20901 (Maine) | Primary |
| Entity Name | Bridgton Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154370153 PECOS PAC ID: 8123919099 Enrollment ID: O20040322000534 |
| Entity Name | Central Maine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Daniel Vinograd, 25 Hospital Dr, Bridgton, ME 04009-1167 Ph: (207) 647-4232 | Dr Michael Daniel Vinograd, 25 Hospital Dr, Bridgton, ME 04009-1167 Ph: (207) 647-4232 |
Lisa Ryan, Pediatrics Medicare: Medicare Enrolled Practice Location: 25 Hospital Dr, Bridgton, ME 04009 Phone: 207-647-4232 Fax: 207-647-6016 | |
Shannon Alyssa Kane Slayton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25 Hospital Dr, Bridgton Pediatrics, Bridgton, ME 04009 Phone: 207-647-6423 Fax: 207-647-6016 |