| Dr Michael S Green, MD | |
|
915 Union St, Suite 4, Eastern Maine Healthcare Mall, Bangor, ME 04401 | |
| (207) 973-8030 | |
| (207) 973-6005 |
| Full Name | Dr Michael S Green |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 915 Union 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 |
|---|---|---|---|
| 1902813140 | NPI | - | NPPES |
| 010211501 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 015688 (Maine) | Primary |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael S Green, MD 915 Union St., Suite 4, Eastern Maine Healthcare Mall, Bangor, ME 04401 Ph: (207) 973-8030 | Dr Michael S Green, MD 915 Union St, Suite 4, Eastern Maine Healthcare Mall, Bangor, ME 04401 Ph: (207) 973-8030 |
James Hildebrand, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-1703 Fax: 207-907-1921 | |
Mr. Angus Lee Hollander Beal, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-8000 Fax: 207-973-7985 | |
Ivan King, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-262-1703 Fax: 207-262-1106 | |
Dr. Ellen W White, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Emergency Department, Bangor, ME 04401 Phone: 207-973-7250 Fax: 207-973-5656 | |
Rose Mengual, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-5199 | |
Dr. Ruth A Fogler, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-8000 Fax: 207-973-5656 | |
Christian Andersen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-3000 Fax: 207-907-1921 |