| Frederick Clapp Roediger, MD | |
|
1250 Forest Ave, Suite 301, Portland, ME 04103-1897 | |
| (207) 797-5753 | |
| (207) 797-9571 |
| Full Name | Frederick Clapp Roediger |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 22 Years |
| Location | 1250 Forest Ave, Portland, 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 |
|---|---|---|---|
| 1659409977 | NPI | - | NPPES |
| 30209197 | Other | ME | NEW HAMPSHIRE MEDICAID |
| P00759644 | Other | ME | RAILROAD MEDICARE GROUP PTAN |
| 1044199 | Other | ME | AETNA |
| AA146929 | Other | ME | HARVARD PILGRIM |
| 433941099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | MD18047 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Maine Medical Center | Portland, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mainehealth | 7517860588 | 2288 |
| Entity Name | Maine Medical Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447354899 PECOS PAC ID: 9335043967 Enrollment ID: O20040330000128 |
| 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 |
|---|---|
| Frederick Clapp Roediger, MD 301c Us Route 1, Scarborough, ME 04074-9701 Ph: (207) 396-8600 | Frederick Clapp Roediger, MD 1250 Forest Ave, Suite 301, Portland, ME 04103-1897 Ph: (207) 797-5753 |
Dr. Matthew James Hearst, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 43 Baxter Blvd, Portland, ME 04101 Phone: 207-775-6381 Fax: 207-775-3378 | |
Christina Marie Mimikos, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1250 Forest Ave Ste 301, Portland, ME 04103 Phone: 207-797-5753 | |
Christopher B Murry, D.O Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1250 Forest Ave, Suite 301, Portland, ME 04103 Phone: 207-797-5753 Fax: 207-878-1715 | |
Dr. Martha Friberg, D.O. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 43 Baxter Blvd, Portland, ME 04101 Phone: 207-775-6381 Fax: 207-775-3378 | |
Dr. Demetri Antoniou, M.D.,D.M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 15 Sewall St, Portland, ME 04102 Phone: 207-774-1775 Fax: 207-774-3126 | |
Dr. Stephen Maturo, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1250 Forest Ave Ste 301, Portland, ME 04103 Phone: 207-797-5753 Fax: 207-797-9571 |