| Dr Mojabeng Phoofolo, MD | |
|
22 Bramhall St, Portland, ME 04102-3175 | |
| (336) 407-2998 | |
| Not Available |
| Full Name | Dr Mojabeng Phoofolo |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 22 Bramhall St, Portland, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063790392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 166875 (Oregon) | Primary |
| Entity Name | Salem Health West Valley |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245237486 PECOS PAC ID: 7810804630 Enrollment ID: O20040225000830 |
| Entity Name | Salem Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131 |
| Entity Name | Salem Health Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285774257 PECOS PAC ID: 5294094769 Enrollment ID: O20180109003027 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mojabeng Phoofolo, MD 22 Bramhall St, Portland, ME 04102-3134 Ph: (207) 662-7068 | Dr Mojabeng Phoofolo, MD 22 Bramhall St, Portland, ME 04102-3175 Ph: (336) 407-2998 |
Karin M Doehne, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 211 Marginal Way, Portland, ME 04101 Phone: 207-544-9355 | |
Dr. Catherine Freeman, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-4618 | |
Lisa Almeder, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Pavilion 1203, Portland, ME 04102 Phone: 207-662-4618 Fax: 207-662-6254 | |
Mary C. Ottolini, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-6711 Fax: 207-662-6063 | |
Dr. Lauren Nicole Boehm, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111 | |
Dr. Laura C Mcphee, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-7060 Fax: 207-662-7066 |