| Mr Robert Alan Clough, MD | |
|
417 State St, Suite 421, Bangor, ME 04401-6630 | |
| (207) 973-5293 | |
| (207) 973-5263 |
| Full Name | Mr Robert Alan Clough |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 417 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 |
|---|---|---|---|
| 1528044245 | NPI | - | NPPES |
| 117950000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 012266 (Maine) | Primary |
| Entity Name | Eastern Maine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert Alan Clough, MD 43 Whiting Hill Rd Ste 300, Brewer, ME 04412-1006 Ph: (207) 973-5035 | Mr Robert Alan Clough, MD 417 State St, Suite 421, Bangor, ME 04401-6630 Ph: (207) 973-5293 |
Dr. Darryl Hoffman, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 417 State St Ste 421, Bangor, ME 04401 Phone: 207-973-5293 Fax: 207-973-5263 | |
Dr. Flavian Mark Lupinetti, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 417 State St, Suite 421, Bangor, ME 04401 Phone: 207-973-5293 Fax: 207-973-5293 | |
Dr. David Pantino, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 417 State St Ste 421, Bangor, ME 04401 Phone: 207-973-5293 | |
Ashley Eileen Sirois, CST-FA Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 417 State St Ste 421, Bangor, ME 04401 Phone: 207-973-5293 | |
Mr. John Dean Klemperer, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 417 State St Ste 421, Bangor, ME 04401 Phone: 207-973-5293 Fax: 207-973-5263 | |
Kathleen R Schaab, NP Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 417 State St Ste 421, Bangor, ME 04401 Phone: 207-973-7000 |