| Henry Roy Iii, | |
|
25 Hospital Dr, Bridgton, ME 04009-1156 | |
| (207) 647-2311 | |
| (207) 647-6015 |
| Full Name | Henry Roy Iii |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 25 Hospital Dr, Bridgton, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407827744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 013173 (Maine) | Primary |
| Entity Name | Franklin Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558305847 PECOS PAC ID: 4385615145 Enrollment ID: O20090805000364 |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Roy Iii, 25 Hospital Dr, Bridgton, ME 04009-1156 Ph: (207) 647-2311 | Henry Roy Iii, 25 Hospital Dr, Bridgton, ME 04009-1156 Ph: (207) 647-2311 |
Suzanne O Dater, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Portland Rd, Bridgton, ME 04009 Phone: 207-255-7552 Fax: 207-569-6150 | |
Hans Boedeker, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Hospital Dr, Bridgton, ME 04009 Phone: 207-647-6120 Fax: 207-647-6013 | |
Susan D. Paul, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 25 Hospital Dr, Bridgton, ME 04009 Phone: 207-647-2311 Fax: 207-647-6015 | |
Stuart Eisenberg, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 15 Hospital Dr, Bridgton, ME 04009 Phone: 207-647-6240 Fax: 207-647-6223 |