| Dr Peter H Witham, MD | |
|
16 Community Ln, Southwest Harbor, ME 04679-4273 | |
| (207) 244-5630 | |
| Not Available |
| Full Name | Dr Peter H Witham |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 38 Years |
| Location | 16 Community Ln, Southwest Harbor, 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 |
|---|---|---|---|
| 1417043639 | NPI | - | NPPES |
| OVN2345 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD19832 (Maine) | Primary |
| 207R00000X | Internal Medicine | 0420010126 (Vermont) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mount Desert Nursing Assoc | Northeast harbor, ME | Home health agency |
| Beacon Hospice, An Amedisys Company | Bangor, ME | Hospice |
| Mount Desert Island Hospital | Bar harbor, ME | Hospital |
| Northern Light Maine Coast Hospital | Ellsworth, ME | Hospital |
| Northern Light Eastern Maine Medical Center | Bangor, ME | Hospital |
| Northern Light Blue Hill Memorial Hospital | Blue hill, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mount Desert Island Hospital | 0941250963 | 61 |
| Entity Name | Mount Desert Island Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790764512 PECOS PAC ID: 0941250963 Enrollment ID: O20050127000611 |
| Entity Name | Mount Desert Island Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1790764512 PECOS PAC ID: 0941250963 Enrollment ID: O20050718000781 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter H Witham, MD 50 Union Street, Ellsworth, ME 04605 Ph: (207) 664-7780 | Dr Peter H Witham, MD 16 Community Ln, Southwest Harbor, ME 04679-4273 Ph: (207) 244-5630 |