| Dr Timothy Dewitt Carnes Jr, MD | |
|
17 Bishop St, Portland, ME 04103-2659 | |
| (207) 835-0488 | |
| (207) 835-0359 |
| Full Name | Dr Timothy Dewitt Carnes Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Addiction Medicine |
| Location | 17 Bishop 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 |
|---|---|---|---|
| 1215917885 | NPI | - | NPPES |
| 4144900099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | 16503 (Maine) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | 16503 (Maine) | Primary |
| Entity Name | Day One |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164484093 PECOS PAC ID: 9032249644 Enrollment ID: O20100608000839 |
| Entity Name | Bishop Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487256186 PECOS PAC ID: 6800298654 Enrollment ID: O20210715002780 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy Dewitt Carnes Jr, MD 17 Bishop St, Portland, ME 04103-2659 Ph: (207) 835-0488 | Dr Timothy Dewitt Carnes Jr, MD 17 Bishop St, Portland, ME 04103-2659 Ph: (207) 835-0488 |
Andrew J. Hsu, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 155 Fore River Pkwy, Portland, ME 04102 Phone: 207-535-1100 Fax: 207-879-8787 | |
Rebecca Rose Lightman, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-7060 | |
David A Polisner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000 | |
Christina Tsui, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111 | |
Brian D Moore, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000 | |
Marc Stuart Hoffman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3265 | |
Janet D Mcculley, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-4618 |