| John R Hatzenbuehler, MD | |
|
100 Foden Rd, East, Suite 200, South Portland, ME 04106 | |
| (207) 523-8500 | |
| (207) 523-8591 |
| Full Name | John R Hatzenbuehler |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 100 Foden Rd, East, South 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 |
|---|---|---|---|
| 1699844365 | NPI | - | NPPES |
| 30207627 | Medicaid | NH | |
| 432651599 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD17466 (Maine) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | MD17466 (Maine) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Home Care | Meridian, ID | Home health agency |
| St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic - Wood River Llc | 3173783818 | 58 |
| Entity Name | St Lukes Clinic - Wood River Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972891604 PECOS PAC ID: 3173783818 Enrollment ID: O20120404000474 |
| Mailing Address | Practice Location Address |
|---|---|
| John R Hatzenbuehler, MD 100 Gannett Drive, Suite C, South Portland, ME 04106 Ph: (207) 828-0361 | John R Hatzenbuehler, MD 100 Foden Rd, East, Suite 200, South Portland, ME 04106 Ph: (207) 523-8500 |
Alexandra Roberts, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Foden Rd Ste 203, South Portland, ME 04106 Phone: 207-879-1489 | |
Dr. Joseph Py, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Western Ave, South Portland, ME 04106 Phone: 207-774-7111 | |
Anastasia R Norman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 96 Ocean St Ste 4, South Portland, ME 04106 Phone: 207-303-8800 | |
Bradford S. Wagner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Foden Rd Ste 3, South Portland, ME 04106 Phone: 207-874-1489 Fax: 207-523-8590 | |
Danielle Janet Milovanovic, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Western Ave, South Portland, ME 04106 Phone: 207-114-7111 Fax: 207-775-1985 | |
Dr. John Edward Kazilionis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 778 Main St, Suite 1, South Portland, ME 04106 Phone: 207-775-7758 Fax: 207-879-7758 | |
Elizabeth R Bobzien, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Foden Rd, East, Suite 203, South Portland, ME 04106 Phone: 207-874-1489 Fax: 207-523-8590 |