| Elizabeth Jane Videlock, MD | |
|
10 Wayman Ln, Mdi Hospital, Bar Harbor, ME 04609-1625 | |
| (207) 288-5082 | |
| (207) 288-8600 |
| Full Name | Elizabeth Jane Videlock |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 10 Wayman Ln, Bar Harbor, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356578272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | TD 121060 (Maine) | Secondary |
| 207R00000X | Internal Medicine | 250421 (Massachusetts) | Primary |
| Entity Name | The Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Jane Videlock, MD 10 Wayman Ln, Mdi Hospital, Bar Harbor, ME 04609-1625 Ph: (207) 288-5082 | Elizabeth Jane Videlock, MD 10 Wayman Ln, Mdi Hospital, Bar Harbor, ME 04609-1625 Ph: (207) 288-5082 |
Dr. Abdolghader Molavi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19 Grason Lane, Bar Harbor, ME 04609 Phone: 207-669-4966 | |
Julius R Krevans Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Wayman Ln, Bar Harbor, ME 04609 Phone: 207-288-5081 | |
Mr. Mark O Brown, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Wayman Ln, Bar Harbor, ME 04609 Phone: 207-288-5081 Fax: 207-288-8612 |