| Edward P Nicholas, MD | |
|
489 State St, Bangor, ME 04401-6616 | |
| (207) 973-8150 | |
| Not Available |
| Full Name | Edward P Nicholas |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 19 Years |
| Location | 489 State St, Bangor, 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 |
|---|---|---|---|
| 1629299003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD19238 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastern Maine Medical Center | Bangor, ME | Hospital |
| Northern Light Maine Coast Hospital | Ellsworth, ME | Hospital |
| St Joseph Hospital | Bangor, ME | Hospital |
| Northern Light Blue Hill Memorial Hospital | Blue hill, ME | Hospital |
| Millinocket Regional Hospital | Millinocket, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spectrum Healthcare Partners, Pa | 7618871245 | 261 |
| Entity Name | Spectrum Healthcare Partners, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710993159 PECOS PAC ID: 7618871245 Enrollment ID: O20040920000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward P Nicholas, MD 324 Gannett Dr Ste 200, South Portland, ME 04106-3266 Ph: (207) 482-7800 | Edward P Nicholas, MD 489 State St, Bangor, ME 04401-6616 Ph: (207) 973-8150 |
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 |