| Elizabeth Sm Desjardin, MD | |
|
100 Campus Dr Unit 121, Scarborough, ME 04074-7172 | |
| (207) 396-7760 | |
| (207) 396-8500 |
| Full Name | Elizabeth Sm Desjardin |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 15 Years |
| Location | 100 Campus Dr Unit 121, Scarborough, Maine |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275829699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086X0206X | Surgery - Surgical Oncology | 036140306 (Illinois) | Secondary |
| 208600000X | Surgery | MD21127 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Maine Medical Center | Portland, ME | Hospital |
| Penobscot Bay Medical Center | Rockport, ME | Hospital |
| Memorial Hospital, The | North conway, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mainehealth | 7517860588 | 2288 |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780788372 PECOS PAC ID: 7517860588 Enrollment ID: O20040331000351 |
| Entity Name | Maine Medical Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285738310 PECOS PAC ID: 9335043967 Enrollment ID: O20040525000396 |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Sm Desjardin, MD 190 Riverside St Unit 6b, Portland, ME 04103-1073 Ph: () - | Elizabeth Sm Desjardin, MD 100 Campus Dr Unit 121, Scarborough, ME 04074-7172 Ph: (207) 396-7760 |
John Birknes, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 49 Spring St, Scarborough, ME 04074 Phone: 207-885-0011 | |
Elizabeth Howe Sullivan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 144 Us Route 1 Ste 2, Scarborough, ME 04074 Phone: 207-396-7606 Fax: 207-819-6802 | |
Dr. Douglas L Jicha, MD Surgery Medicare: Medicare Enrolled Practice Location: 306 Us Route 1, Bldg C, Scarborough, ME 04074 Phone: 207-885-5742 Fax: 207-885-1494 | |
Sarah Elizabeth Gray, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 92 Campus Dr Ste D, Scarborough, ME 04074 Phone: 207-662-8900 | |
Ekaterini Tsiapali, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Campus Dr Unit 121, Scarborough, ME 04074 Phone: 207-396-7788 Fax: 207-396-8500 | |
Scott Thomas Robinson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 92 Campus Dr Ste D, Scarborough, ME 04074 Phone: 040-742-0766 |