| Jon C Older, DO | |
|
20 Hartford St, Houlton, ME 04730-1891 | |
| (207) 532-2900 | |
| (207) 532-5974 |
| Full Name | Jon C Older |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 20 Hartford St, Houlton, 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 |
|---|---|---|---|
| 1073582128 | NPI | - | NPPES |
| 323250099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | DO1652 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Houlton Regional Hospital | Houlton, ME | Hospital |
| Mount Desert Island Hospital | Bar harbor, ME | Hospital |
| Eastern Maine Medical Center | Bangor, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Houlton Regional Hospital | 0042127946 | 35 |
| Mount Desert Island Hospital | 0941250963 | 43 |
| Entity Name | Houlton Regional Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386804268 PECOS PAC ID: 0042127946 Enrollment ID: O20041123000733 |
| Entity Name | Mount Desert Island Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790764512 PECOS PAC ID: 0941250963 Enrollment ID: O20050127000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon C Older, DO 20 Hartford St, Houlton, ME 04730-1891 Ph: (207) 532-2900 | Jon C Older, DO 20 Hartford St, Houlton, ME 04730-1891 Ph: (207) 532-2900 |
Stephen M Raph, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 20 Hartford St, Houlton, ME 04730 Phone: 207-532-2900 Fax: 207-532-5974 | |
Hassan E Abouleish, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 22 Hartford St, Sigrid E Tompkins Health Center, Houlton, ME 04730 Phone: 207-532-4068 Fax: 207-532-5974 | |
Mr. Larry J Sokolic, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 22 Hatford St, Houlton, ME 04730 Phone: 218-463-1365 Fax: 218-463-4712 | |
Claude Boma, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Hartford Street, Houlton, ME 04730 Phone: 207-532-9002 | |
Thomas J. Ryan, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Hartford St, Houlton, ME 04730 Phone: 207-532-2900 Fax: 207-532-5974 | |
Dr. Owen Osarenkhoe Igbinosa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Hartford Street, Houlton, ME 04730 Phone: 207-532-2900 Fax: 207-532-7057 |