John Mamon, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Rockport, Maine. His current practice location is
6 Glen Cove Dr, Rockport, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 662-4735.
John Mamon is licensed to practice in Maine (license number MD23752) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669456406.
Physician's Profile
| Full Name | John Mamon |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 6 Glen Cove Dr, Rockport, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669456406
- Provider Enumeration Date: 12/05/2005
- Last Update Date: 09/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 8527011469
- Enrollment ID: I20200818002405
Medical Identifiers
Medical identifiers for John Mamon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669456406 | NPI | - | NPPES |
| 1669456406 | Medicaid | ME | |
| 036075457 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | 036075457 (Illinois) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD23752 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Mamon is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
John Mamon, MD 6 Glen Cove Dr, Rockport, ME 04856-4272 Ph: () - | John Mamon, MD 6 Glen Cove Dr, Rockport, ME 04856-4272 Ph: (207) 662-4735 |
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