| James D Raque, MD | |
|
149 North Street, Waterville, ME 04901-4974 | |
| (207) 873-0729 | |
| (207) 873-4338 |
| Full Name | James D Raque |
|---|---|
| Gender | Male |
| Speciality | Radiology - Vascular & Interventional Radiology |
| Location | 149 North Street, Waterville, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043222334 | NPI | - | NPPES |
| 50973550 | Medicaid | CO | |
| 1043222334 | Medicaid | ME |
| Entity Name | Radiology Alliance Of Maine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821439258 PECOS PAC ID: 4486888575 Enrollment ID: O20131003000057 |
| Mailing Address | Practice Location Address |
|---|---|
| James D Raque, MD Po Box 766, Waterville, ME 04901-0766 Ph: (207) 873-0729 | James D Raque, MD 149 North Street, Waterville, ME 04901-4974 Ph: (207) 873-0729 |
Zaki Nashed, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-872-1000 | |
Jonathan J Hallenbeck, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-872-1000 | |
Paul D Gagliardi, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-872-1000 | |
Johannes Hendrik Jordaan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-872-1000 |