Mark W Fourre, MD | |
22 Bramhall St, Portland, ME 04102-3134 | |
(207) 662-7046 | |
(207) 662-7054 |
Full Name | Mark W Fourre |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 22 Bramhall St, Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588653018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD12773 (Maine) | Primary |
Entity Name | Mainehealth |
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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 |
---|---|
Mark W Fourre, MD 22 Bramhall St, Portland, ME 04102-3134 Ph: (207) 662-7046 | Mark W Fourre, MD 22 Bramhall St, Portland, ME 04102-3134 Ph: (207) 662-7046 |
Thomas M Eslinger, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-7010 Fax: 207-662-7025 | |
Dr. Christopher T Bowe, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-7010 Fax: 207-662-7025 | |
Dr. Gregory Scott Heaphy, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000 | |
Laura Taylor Director, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-3500 | |
James R Blum, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2381 | |
Ryan Christopher Jackson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 335 Brighton Ave, Portland, ME 04102 Phone: 207-662-0111 Fax: 207-662-8133 | |
Christopher James Watson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2381 |