| Mark Eugene Bolduc, MD | |
| 
					325 Kennedy Memorial Dr # B, Waterville, ME 04901-4517  | |
| (207) 872-7171 | |
| (207) 877-7268 | 
| Full Name | Mark Eugene Bolduc | 
|---|---|
| Gender | Male | 
| Speciality | Surgery - Vascular Surgery | 
| Location | 325 Kennedy Memorial Dr # B, Waterville, Maine | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043226129 | NPI | - | NPPES | 
| M101030 | Other | ME | CIGNA | 
| 039918 | Other | ME | ANTHEM BLUE CROSS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 011486 (Maine) | Secondary | 
| 2086S0129X | Surgery - Vascular Surgery | 011486 (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 | Sebasticook Valley Health | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457461477 PECOS PAC ID: 3476462797 Enrollment ID: O20040513001197  | 
| Entity Name | Eastern Maine Healthcare Systems Inland Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1376579557 PECOS PAC ID: 6305817503 Enrollment ID: O20040802001656  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mark Eugene Bolduc, MD 325 Kennedy Memorial Dr # B, Waterville, ME 04901-4517 Ph: (207) 872-7171  | Mark Eugene Bolduc, MD 325 Kennedy Memorial Dr # B, Waterville, ME 04901-4517 Ph: (207) 872-7171  | 
Michael P Durr, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 180 Kennedy Memorial Dr, Suite 304, Waterville, ME 04901 Phone: 207-861-7874 Fax: 207-861-4646  | |
Dr. Simon A. L. Gibbs, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 180 Kennedy Memorial Dr, Suite 304, Waterville, ME 04901 Phone: 207-861-7874 Fax: 207-861-4646  | |
Dr. Craig R Thompson, MD Surgery Medicare: Medicare Enrolled Practice Location: 180 Kennedy Memorial Dr, Suite 304, Waterville, ME 04901 Phone: 207-861-7874 Fax: 207-861-4646  | |
Dr. George Albaran Elias, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 180 Kennedy Memorial Dr Ste 204, Waterville, ME 04901 Phone: 207-861-7874  | |
Sheridan R Oldham, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 325d Kennedy Memorial Dr, Waterville, ME 04901 Phone: 207-873-4055 Fax: 207-873-5243  | |
John L Margolis, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 325 D Kennedy Memorial Dr, Waterville, ME 04901 Phone: 207-873-4055 Fax: 207-873-5243  |