| Kathleen B Petersen, MD | |
|
5 Caldwell Rd, Augusta, ME 04330-5739 | |
| (207) 623-1322 | |
| Not Available |
| Full Name | Kathleen B Petersen |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 5 Caldwell Rd, Augusta, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487632675 | NPI | - | NPPES |
| 257240099 | Medicaid | ME | |
| 005243 | Other | ME | ANTHEM |
| 1041118 | Other | ME | AETNA |
| 6191075 | Other | ME | CIGNA |
| B86469 | Other | ME | HARVARD PILGRIM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 012473 (Maine) | Primary |
| Entity Name | Mainegeneral Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718 |
| Entity Name | Mainegeneral Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063716710 PECOS PAC ID: 1254245715 Enrollment ID: O20110408000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen B Petersen, MD 5 Caldwell Rd, Augusta, ME 04330-5739 Ph: (207) 623-1322 | Kathleen B Petersen, MD 5 Caldwell Rd, Augusta, ME 04330-5739 Ph: (207) 623-1322 |
Dr. Monica Jenette Tschirhart, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 35 Medical Center Pkwy, Augusta, ME 04330 Phone: 207-621-9100 | |
Hishalah Zvulon, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5 Caldwell Rd, Augusta, ME 04330 Phone: 207-623-1322 Fax: 207-623-1462 | |
Carrie L. Bolander, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 15 E Chestnut St, Augusta, ME 04330 Phone: 207-626-1561 Fax: 207-626-1849 | |
Donald J Mccrann Jr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 15 E Chestnut St, Augusta, ME 04330 Phone: 207-626-1561 Fax: 207-626-1849 | |
Glenn D. Gianini, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5 Caldwell Rd, Augusta, ME 04330 Phone: 207-623-1322 | |
Karen J Bossie, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 35 Medical Center Pkwy Ste 202, Augusta, ME 04330 Phone: 207-623-3790 Fax: 207-623-3629 |