| Oto Prokop, MD | |
| 
					46 Fairview Ave Ste 111, Skowhegan, ME 04976-1481  | |
| (207) 474-0905 | |
| (207) 474-6930 | 
| Full Name | Oto Prokop | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 46 Fairview Ave Ste 111, Skowhegan, Maine | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083631014 | NPI | - | NPPES | 
| 1083631014 | Medicaid | ME | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | MD15742 (Maine) | Primary | 
| Entity Name | Redington-fairview General Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1174549133 PECOS PAC ID: 9133018740 Enrollment ID: O20040312000119  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Oto Prokop, MD Po Box 468, Skowhegan, ME 04976-0468 Ph: (207) 474-0905  | Oto Prokop, MD 46 Fairview Ave Ste 111, Skowhegan, ME 04976-1481 Ph: (207) 474-0905  | 
Dr. Donald B Shea, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Fairview Ave, Skowhegan, ME 04976 Phone: 207-858-8121 Fax: 207-474-3648  | |
Donna Conkling, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 46 Fairview Ave, Suite 111, Skowhegan, ME 04976 Phone: 207-474-0905 Fax: 207-474-6930  | |
Dr. Michael J Monzel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 46 Fairview Ave Ste 221, Skowhegan, ME 04976 Phone: 207-474-6945 Fax: 207-474-6933  | |
Dr. Paraschos Archontakis Barakakis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 46 Fairview Ave, Skowhegan, ME 04976 Phone: 207-474-5121 Fax: 207-858-2415  | |
Daniel Stevenson Stadler, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 23 Cedar Ridge Dr, Skowhegan, ME 04976 Phone: 207-474-9686  | |
Dr. Rajdeep Brar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 46 Fairview Ave, Skowhegan, ME 04976 Phone: 207-474-5121  |