| Jonathan T Fanburg, MD | |
|
5 Bucknam Road, Suite 1d, Falmouth, ME 04105-1208 | |
| (207) 781-1775 | |
| (207) 781-1780 |
| Full Name | Jonathan T Fanburg |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 34 Years |
| Location | 5 Bucknam Road, Falmouth, 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 |
|---|---|---|---|
| 1275574311 | NPI | - | NPPES |
| 282610099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | MD14878 (Maine) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mainehealth | 7517860588 | 2288 |
| Entity Name | Maine Medical Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598780447 PECOS PAC ID: 9335043967 Enrollment ID: O20040220000847 |
| Entity Name | Maine Medical Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144090 PECOS PAC ID: 9335043967 Enrollment ID: O20040331000191 |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan T Fanburg, MD 301c Us Route 1, Scarborough, ME 04074-9701 Ph: (207) 396-8600 | Jonathan T Fanburg, MD 5 Bucknam Road, Suite 1d, Falmouth, ME 04105-1208 Ph: (207) 781-1775 |
Allison H Landes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5 Bucknam Rd, Suite 1d, Falmouth, ME 04105 Phone: 207-781-1775 Fax: 207-781-1780 | |
Poh Yong Chang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5 Bucknam Rd Ste 2c, Falmouth, ME 04105 Phone: 207-781-1500 Fax: 207-781-1507 | |
Dr. Jillian W Liner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5 Bucknam Rd Ste 2a, Falmouth, ME 04105 Phone: 425-502-3850 | |
Dayle R Dewey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5 Bucknam Rd, Suite 1d, Falmouth, ME 04105 Phone: 207-781-1775 Fax: 207-781-1780 | |
Nicholas K Fowler, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5 Bucknam Rd, Suite 1d, Falmouth, ME 04105 Phone: 207-781-1775 Fax: 207-781-1780 |