| John B Wahlig, MD | |
|
195 Fore River Pkwy, Suite 490, Portland, ME 04102-2780 | |
| (207) 553-6054 | |
| (207) 553-6076 |
| Full Name | John B Wahlig |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 31 Years |
| Location | 195 Fore River Pkwy, 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 |
|---|---|---|---|
| 1790729051 | NPI | - | NPPES |
| 30204407 | Medicaid | NH | |
| 410600099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | MD16536 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northern Light Mercy Hospital | Portland, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Hospital | 6103737812 | 250 |
| Entity Name | Mercy Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629078712 PECOS PAC ID: 6103737812 Enrollment ID: O20040217000943 |
| Entity Name | Eastern Maine Healthcare Systems Inland Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376579557 PECOS PAC ID: 6305817503 Enrollment ID: O20040802001656 |
| Mailing Address | Practice Location Address |
|---|---|
| John B Wahlig, MD 195 Fore River Pkwy, Suite 490, Portland, ME 04102-2780 Ph: (207) 553-6054 | John B Wahlig, MD 195 Fore River Pkwy, Suite 490, Portland, ME 04102-2780 Ph: (207) 553-6054 |
Lee L. Thibodeau, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 195 Fore River Pkwy, Suite 490, Portland, ME 04102 Phone: 207-553-6054 Fax: 207-553-6076 | |
Nicolas Flannery Arredondo, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 195 Fore River Pkwy Ste 440, Portland, ME 04102 Phone: 207-553-6054 Fax: 207-553-6076 |