| Mira Regina Olson, MD | |
|
360 Broadway Ste 100, Bangor, ME 04401-3900 | |
| (207) 907-3550 | |
| (207) 907-3562 |
| Full Name | Mira Regina Olson |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 360 Broadway Ste 100, Bangor, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033314620 | NPI | - | NPPES |
| 1070564 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD18537 (Maine) | Primary |
| 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 | 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 |
|---|---|
| Mira Regina Olson, MD 360 Broadway Ste 100, Bangor, ME 04401-3979 Ph: (207) 907-3550 | Mira Regina Olson, MD 360 Broadway Ste 100, Bangor, ME 04401-3900 Ph: (207) 907-3550 |
Eddy Karnabi, MD PHD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1 Northeast Dr, Bangor, ME 04401 Phone: 207-275-3800 | |
Dr. Theodore William James, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 417 State St Ste 121, Bangor, ME 04401 Phone: 207-973-4266 | |
Ahmad Hamdan, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 417 State St, Bangor, ME 04401 Phone: 207-973-4377 Fax: 207-973-5810 | |
Sverrir I Gunnarsson, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1 Northeast Dr, Bangor, ME 04401 Phone: 207-275-3800 | |
Liga Yusvirazi, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-3283 | |
Ilsa Annetta Shulman, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 900 Broadway, Bangor, ME 04401 Phone: 207-907-3300 Fax: 207-907-1923 | |
Dr. Michael Paul Sighinolfi, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway Ste 100, Bangor, ME 04401 Phone: 207-907-3550 Fax: 207-907-3562 |