| Michael Stephen Decarolis, DO | |
| 
					111 Franklin Health Cmns, Farmington, ME 04938-6144  | |
| (207) 778-6031 | |
| (207) 779-2632 | 
| Full Name | Michael Stephen Decarolis | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 111 Franklin Health Cmns, Farmington, Maine | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487236881 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | DO4143 (Maine) | Primary | 
| Entity Name | Yale University | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015  | 
| Entity Name | Yale University | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093862740 PECOS PAC ID: 9436061736 Enrollment ID: O20031124000690  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michael Stephen Decarolis, DO 111 Franklin Health Cmns, Farmington, ME 04938-6144 Ph: (207) 778-6031  | Michael Stephen Decarolis, DO 111 Franklin Health Cmns, Farmington, ME 04938-6144 Ph: (207) 778-6031  | 
Jesse Butler, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-778-6031 Fax: 207-779-2632  | |
Jodi Alexis Conrad, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-778-6031  | |
Dr. Aaron Samuel Ratner, DO, MS Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-778-6031 Fax: 207-779-2632  | |
Dr. Viviam Skarleth Trejo, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-778-6031 Fax: 207-779-2632  | |
Melissa Marie Staley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-778-6031 Fax: 207-779-2632  | |
Dr. Andrew Michael Weller, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-778-6031 Fax: 207-779-2632  | |
Ranjiv Advani, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-779-2250  |