| Mr Michael Samuel, MD | |
| 489 State St, Bangor, ME 04401-6616 | |
| (207) 973-7000 | |
| Not Available | 
| Full Name | Mr Michael Samuel | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 489 State St, 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 | 
|---|---|---|---|
| 1275996779 | NPI | - | NPPES | 
| 1275996779 | Medicaid | ME | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD27155 (Maine) | Primary | 
| Entity Name | Spectrum Healthcare Partners, Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1710993159 PECOS PAC ID: 7618871245 Enrollment ID: O20040920000406 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Michael Samuel, MD 324 Gannett Dr Ste 200, South Portland, ME 04106-3266 Ph: (072) 482-7800 | Mr Michael Samuel, MD 489 State St, Bangor, ME 04401-6616 Ph: (207) 973-7000 | 
| Dr. Daniel O Hogenauer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-8305 | |
| Todd Greenberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-482-7800 | |
| Affan Umer, M.B.B.S Radiology Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-953-7000 | |
| Benjamin R. Bamford, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-8150 | |
| Ms. Tiffany Elaine Cunningham, RDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7471 | |
| Thomas W Cubberley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-8150 | |
| Guillermo Olivos, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-8150 |