| Ms Therese K White, MD | |
|
244 Western Avenue, South Portland, ME 04106-2496 | |
| (207) 775-3446 | |
| (207) 879-1646 |
| Full Name | Ms Therese K White |
|---|---|
| Gender | Female |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 37 Years |
| Location | 244 Western Avenue, South Portland, Maine |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124136908 | NPI | - | NPPES |
| 254460099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 013129 (Maine) | Secondary |
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | 013129 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northern Light Mercy Hospital | Portland, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bangor Plastic And Hand Surgery, P.a. | 6901878974 | 4 |
| Entity Name | Bridgton Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154370153 PECOS PAC ID: 8123919099 Enrollment ID: O20040322000534 |
| Entity Name | Central Maine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441 |
| Entity Name | Rumford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205991122 PECOS PAC ID: 3870583511 Enrollment ID: O20040514000890 |
| Entity Name | Bangor Plastic And Hand Surgery, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902987506 PECOS PAC ID: 6901878974 Enrollment ID: O20040810000896 |
| Entity Name | Central Maine Clinical Associates Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356676688 PECOS PAC ID: 1850321811 Enrollment ID: O20050818000910 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Therese K White, MD 244 Western Avenue, South Portland, ME 04106-2496 Ph: (207) 775-3446 | Ms Therese K White, MD 244 Western Avenue, South Portland, ME 04106-2496 Ph: (207) 775-3446 |
Mr. David G Fitz, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 244 Western Ave, South Portland, ME 04106 Phone: 207-775-3446 Fax: 207-879-1646 | |
Mr. John A Attwood, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 244 Western Avenue, South Portland, ME 04106 Phone: 207-775-3446 Fax: 207-879-1646 | |
Mr. Thomas E Vaughan, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 244 Western Avenue, South Portland, ME 04106 Phone: 207-775-3446 Fax: 207-879-1646 | |
Dr. Sirish Maddali, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 244 Western Avenue, South Portland, ME 04106 Phone: 207-775-3446 Fax: 207-879-1646 | |
Mr. Richard C Flaherty, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 244 Western Avenue, South Portland, ME 04106 Phone: 207-775-3446 Fax: 207-879-1646 |