| Michael J Antoniello, MD | |
|
149 North St, Emergency Department, Waterville, ME 04901-4974 | |
| (207) 872-1303 | |
| (207) 872-1302 |
| Full Name | Michael J Antoniello |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 26 Years |
| Location | 149 North St, Waterville, Maine |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568470953 | NPI | - | NPPES |
| 154420000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 016913 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Hospital | Bangor, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Joseph Hospital | 6406766336 | 170 |
| Entity Name | St Joseph Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154321545 PECOS PAC ID: 6406766336 Enrollment ID: O20040604000895 |
| Entity Name | Southern Maine Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659392819 PECOS PAC ID: 0143208348 Enrollment ID: O20040713001060 |
| 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 |
| Entity Name | Emergency Medicine Services Of Maine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578032058 PECOS PAC ID: 1052657616 Enrollment ID: O20190118000889 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Antoniello, MD 149 North St, Waterville, ME 04901-4974 Ph: (207) 872-1303 | Michael J Antoniello, MD 149 North St, Emergency Department, Waterville, ME 04901-4974 Ph: (207) 872-1303 |
Sally L Chapin, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-872-1307 | |
Steven E Diaz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 149 North St, Mgha Hospitalist Program, Waterville, ME 04901 Phone: 207-626-1018 Fax: 207-626-1214 | |
Kristine Popelka, MS ATC Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4000 Mayflower Hl, Waterville, ME 04901 Phone: 207-859-4490 | |
Deep Sarvadaman Acharya, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Kennedy Memorial Dr, Waterville, ME 04901 Phone: 207-861-3000 Fax: 207-861-3210 | |
Dennis R Mccann, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-872-1303 Fax: 207-872-1302 | |
Elizabeth A Snuggs, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-872-1303 Fax: 207-872-1302 |