| John I Pyne, MD | |
|
78 Ridgewood Dr, Bangor, ME 04401-2652 | |
| (207) 947-8381 | |
| (207) 947-6056 |
| Full Name | John I Pyne |
|---|---|
| Gender | Male |
| Speciality | Surgery - Surgery Of The Hand |
| Location | 78 Ridgewood Dr, Bangor, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447254115 | NPI | - | NPPES |
| 2000028936 | Other | RR MEDICARE | |
| ME0560 | Other | HP | |
| 09-01065 | Other | UNITED HC | |
| M67422 | Other | CIGNA | |
| 011499 | Other | ANTHEM | |
| 1040724 | Other | AETNA | |
| 304280099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 013747 (Maine) | Secondary |
| 2086S0105X | Surgery - Surgery Of The Hand | 013747 (Maine) | Primary |
| Entity Name | Eastern Maine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088 |
| Entity Name | Down East Orthopedic Assoc Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194763110 PECOS PAC ID: 4284619198 Enrollment ID: O20040805000812 |
| Mailing Address | Practice Location Address |
|---|---|
| John I Pyne, MD 78 Ridgewood Dr, Bangor, ME 04401-2652 Ph: (207) 947-8381 | John I Pyne, MD 78 Ridgewood Dr, Bangor, ME 04401-2652 Ph: (207) 947-8381 |
Dr. Pedro Pablo Gomez Valencia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-3650 Fax: 207-907-3660 | |
Dr. Peter Beaulieu, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000 | |
Anne Ogden Applebaum, MD Surgery Medicare: Medicare Enrolled Practice Location: 417 State St Ste 340, Bangor, ME 04401 Phone: 207-973-4750 | |
Dr. Gary A Keller, M.D. PH.D Surgery Medicare: Not Enrolled in Medicare Practice Location: 417 State St Ste 421, Bangor, ME 04401 Phone: 207-973-5293 Fax: 207-973-5263 | |
Dr. Brad Edward Waddell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 417 State St, Suite 330 Webber East, Bangor, ME 04401 Phone: 207-973-8881 Fax: 207-973-8880 | |
Joanmarie Dietz Pellegrini, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-3650 Fax: 207-907-3660 | |
Maria Michailidou, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 417 State St Ste 330, Bangor, ME 04401 Phone: 207-973-8881 |