| Michael A Heniser, DO | |
|
16 Community Ln, Southwest Harbor, ME 04679-4273 | |
| (207) 244-5630 | |
| (207) 244-2801 |
| Full Name | Michael A Heniser |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 16 Community Ln, Southwest Harbor, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457382251 | NPI | - | NPPES |
| 2002 | Other | ME | ME LICENSE |
| 432646399 | Medicaid | ME | |
| 99691 | Other | ME | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2002 (Maine) | Primary |
| Entity Name | Penobscot Valley Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093716086 PECOS PAC ID: 8426942889 Enrollment ID: O20040209000635 |
| Entity Name | Millinocket Regional Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275646150 PECOS PAC ID: 3779491212 Enrollment ID: O20040523000014 |
| Entity Name | Calais Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1922001049 PECOS PAC ID: 0345649158 Enrollment ID: O20210910001201 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Heniser, DO 10 Wayman Ln, Bar Harbor, ME 04609-1625 Ph: (207) 288-5081 | Michael A Heniser, DO 16 Community Ln, Southwest Harbor, ME 04679-4273 Ph: (207) 244-5630 |
Dr. Daniel Enrique Lomelin, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16 Community Ln, Southwest Harbor, ME 04679 Phone: 207-244-5630 Fax: 207-801-5802 | |
Marta Rieman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 45 Herrick Rd, Southwest Harbor Medical Center, Southwest Harbor, ME 04679 Phone: 207-244-5513 Fax: 207-244-5515 | |
Dr. Bartholomew Clayton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45 Herrick Rd, Soutwest Harbor Medical Center, Southwest Harbor, ME 04679 Phone: 207-244-5513 Fax: 207-244-5515 | |
Clarke William Baxter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45 Herrick Rd, Southwest Harbor, ME 04679 Phone: 207-244-5513 Fax: 207-664-5515 | |
Julian P Kuffler, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16 Community Ln, Southwest Harbor, ME 04679 Phone: 207-244-5630 Fax: 207-244-4418 | |
Andre Benoit Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 45 Herrick Rd, Southwest Harbor, ME 04679 Phone: 207-244-5513 Fax: 207-664-5515 |