| Dr Susan Tyler, MD, MSC, FRCPC | |
|
Grant 6 489 State St, Bangor, ME 04401-6616 | |
| (207) 973-6604 | |
| Not Available |
| Full Name | Dr Susan Tyler |
|---|---|
| Gender | Female |
| Speciality | Radiology - Radiation Oncology |
| Location | Grant 6 489 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 |
|---|---|---|---|
| 1356900328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | MD23119 (Maine) | Primary |
| Entity Name | Aroostook Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396858999 PECOS PAC ID: 1153233663 Enrollment ID: O20031104000020 |
| Entity Name | Eastern Maine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susan Tyler, MD, MSC, FRCPC 43 Whiting Hill Rd Ste 300, Brewer, ME 04412-1006 Ph: (207) 973-6604 | Dr Susan Tyler, MD, MSC, FRCPC Grant 6 489 State St, Bangor, ME 04401-6616 Ph: (207) 973-6604 |
Dr. Daniel O Hogenauer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-8305 | |
Todd Greenberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-482-7800 | |
Affan Umer, M.B.B.S Radiology Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-953-7000 | |
Benjamin R. Bamford, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-8150 | |
Ms. Tiffany Elaine Cunningham, RDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7471 | |
Thomas W Cubberley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-8150 | |
Guillermo Olivos, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-8150 |