| James Edward Rohan, MD | |
|
290 W Side Rd, Addison, ME 04606-3022 | |
| (207) 483-4091 | |
| (207) 483-4091 |
| Full Name | James Edward Rohan |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 35 Years |
| Location | 290 W Side Rd, Addison, 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 |
|---|---|---|---|
| 1144290347 | NPI | - | NPPES |
| 563999912000 | Other | UT | BLUE CROSS OF UT |
| D5921 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085B0100X | Radiology - Body Imaging | 56399991205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pine Ridge Ihs Hospital | Pine ridge, SD | Hospital |
| Monument Health Rapid City Hospital | Rapid city, SD | Hospital |
| Gordon Memorial Hospital District | Gordon, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pine Ridge Indian Health Service Hospital | 4688654130 | 8 |
| Pine Ridge Indian Health Service Hospital | 4688571326 | 107 |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003963497 PECOS PAC ID: 7214825371 Enrollment ID: O20040309001203 |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962559518 PECOS PAC ID: 4688654130 Enrollment ID: O20040723000965 |
| Mailing Address | Practice Location Address |
|---|---|
| James Edward Rohan, MD 290 W Side Rd, Addison, ME 04606-3022 Ph: (207) 483-4091 | James Edward Rohan, MD 290 W Side Rd, Addison, ME 04606-3022 Ph: (207) 483-4091 |