| 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: Medicare Enrolled Practice Location: 35 Medical Center Pkwy Ste 202, Augusta, ME 04330 Phone: 207-623-3790 Fax: 207-623-3629 |