| Mr Mark O Brown, MD | |
|
10 Wayman Ln, Bar Harbor, ME 04609-1625 | |
| (207) 288-5081 | |
| (207) 288-8612 |
| Full Name | Mr Mark O Brown |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 10 Wayman Ln, Bar 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 |
|---|---|---|---|
| 1982683496 | NPI | - | NPPES |
| 1790764512-014 | Medicaid | ME | |
| MD13188 | Other | ME | MAINE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 013188 (Maine) | Primary |
| Entity Name | Mount Desert Island Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790764512 PECOS PAC ID: 0941250963 Enrollment ID: O20050127000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark O Brown, MD 10 Wayman Ln, Bar Harbor, ME 04609-1625 Ph: (207) 288-5081 | Mr Mark O Brown, MD 10 Wayman Ln, Bar Harbor, ME 04609-1625 Ph: (207) 288-5081 |
Elizabeth Jane Videlock, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 10 Wayman Ln, Mdi Hospital, Bar Harbor, ME 04609 Phone: 207-288-5082 Fax: 207-288-8600 | |
Dr. Abdolghader Molavi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19 Grason Lane, Bar Harbor, ME 04609 Phone: 207-669-4966 | |
Julius R Krevans Jr., MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Wayman Ln, Bar Harbor, ME 04609 Phone: 207-288-5081 |