| Matthew Moccia, DO | |
| 35 Medical Center Pkwy, Augusta, ME 04330-8160 | |
| (207) 626-1438 | |
| (207) 777-1439 | 
| Full Name | Matthew Moccia | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 35 Medical Center Pkwy, 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 | 
|---|---|---|---|
| 1841722188 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | DO3551 (Maine) | Secondary | 
| 2085R0202X | Radiology - Diagnostic Radiology | DO3551 (Maine) | Primary | 
| Entity Name | Radiology Alliance Of Maine Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821439258 PECOS PAC ID: 4486888575 Enrollment ID: O20131003000057 | 
| Entity Name | Maine Mobile Mri Assoc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649607524 PECOS PAC ID: 0042274086 Enrollment ID: O20250403001649 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Matthew Moccia, DO Po Box 986520 Department 370, Boston, MA 02298-6520 Ph: () - | Matthew Moccia, DO 35 Medical Center Pkwy, Augusta, ME 04330-8160 Ph: (207) 626-1438 | 
| Peter J Mascetta, D.O Radiology Medicare: Not Enrolled in Medicare Practice Location: 6 East Chestnut Street, Augusta, ME 04333 Phone: 207-626-1000 | |
| Eric Stram, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 35 Medical Center Pkwy, Augusta, ME 04330 Phone: 207-626-1000 | |
| Joseph R Metz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 28 Arsenal St, Augusta, ME 04330 Phone: 207-622-4231 | |
| Shawn Justin Studholme, RTR Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Va Ctr, Augusta, ME 04330 Phone: 877-421-8263 | |
| Joseph T Laverdiere, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 28 Arsenal St, Augusta, ME 04330 Phone: 207-622-4231 Fax: 207-623-1580 | |
| Christopher Mahoney, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 35 Medical Center Pkwy, Augusta, ME 04330 Phone: 207-626-1000 | |
| Daniel Gatto Hechavarria, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 35 Medical Center Pkwy, Augusta, ME 04330 Phone: 207-626-1438 Fax: 207-777-1439 |