| Mr Richard S Tockman, MD | |
|
25a June St, Sanford, ME 04073-2642 | |
| (207) 324-8311 | |
| (207) 324-7899 |
| Full Name | Mr Richard S Tockman |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 25a June St, Sanford, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689631392 | NPI | - | NPPES |
| B86997 | Other | ME | HARVARD PILGRIM |
| 2071103 | Other | ME | AETNA |
| 321290199 | Medicaid | ME | |
| 025354 | Other | ME | ANTHEM |
| 610109201 | Other | ME | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 009388 (Maine) | Primary |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639194509 PECOS PAC ID: 7517860588 Enrollment ID: O20040206000472 |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Entity Name | Southern Maine Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659392819 PECOS PAC ID: 0143208348 Enrollment ID: O20040713001060 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard S Tockman, MD Po Box 233, Sanford, ME 04073-0233 Ph: (207) 490-7728 | Mr Richard S Tockman, MD 25a June St, Sanford, ME 04073-2642 Ph: (207) 324-8311 |
Timothy A Theobald, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25a June St Ste 111, Sanford, ME 04073 Phone: 207-490-7998 | |
Mary L Callison, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Goodall Drive, Sanford, ME 04073 Phone: 207-490-7790 | |
Amanda Reavis Gibson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 25a June St Ste 111, Sanford, ME 04073 Phone: 207-490-7998 | |
Steven J Schneider, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25a June St, Sanford, ME 04073 Phone: 207-324-8311 Fax: 207-324-7899 | |
Melissa Ifantides, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25a June St, Suite 101, Sanford, ME 04073 Phone: 207-490-7998 | |
William F Frank, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 14 Winter St, Sanford, ME 04073 Phone: 207-324-3226 Fax: 207-324-4088 |