| Michaela Moden, MD, MPH | |
| 
					111 Franklin Health Cmns, Farmington, ME 04938-6144  | |
| (207) 778-6031 | |
| Not Available | 
| Full Name | Michaela Moden | 
|---|---|
| Gender | Female | 
| Speciality | Psychiatry & Neurology - Psychiatry | 
| 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 | 
|---|---|---|---|
| 1326509241 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD27408 (Maine) | Primary | 
| Entity Name | Mainehealth | 
|---|---|
| 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 | 
|---|---|
| Michaela Moden, MD, MPH 111 Franklin Health Cmns, Farmington, ME 04938-6144 Ph: () -  | Michaela Moden, MD, MPH 111 Franklin Health Cmns, Farmington, ME 04938-6144 Ph: (207) 778-6031  | 
Dr. John Sytsma, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 144 High St, Farmington, ME 04938 Phone: 207-778-3556 Fax: 207-778-3558  | |
Dr. Lourdes Soto Moreno, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 131 Franklin Health Cmns, Ste A, Farmington, ME 04938 Phone: 207-778-0035 Fax: 207-778-6879  | |
Dr. Kristen Hoffman Mazoki, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938 Phone: 215-920-6482  | |
Dr. Arthur Raymond Dingley, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 131 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-778-0035 Fax: 207-779-2131  | |
Ryan David Robinson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-778-6031  |