| Otto Roberto Sandoval Linares, MD | |
|
442 Civic Center Dr, Augusta, ME 04330-8572 | |
| (207) 622-6319 | |
| Not Available |
| Full Name | Otto Roberto Sandoval Linares |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 19 Years |
| Location | 442 Civic Center Dr, Augusta, Maine |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407010598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD25699 (Maine) | Secondary |
| 208800000X | Urology | 274614 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Peter's Hospital | Albany, NY | Hospital |
| Samaritan Hospital | Troy, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Peter's Health Partners Medical Associates, P.c. | 6103061189 | 413 |
| Entity Name | St James Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013985399 PECOS PAC ID: 0345154480 Enrollment ID: O20031113000649 |
| Entity Name | Mary Imogene Bassett Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20040120000834 |
| Entity Name | University Urology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952357493 PECOS PAC ID: 4880642537 Enrollment ID: O20050110000246 |
| Entity Name | St. Peter's Health Partners Medical Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626834 PECOS PAC ID: 6103061189 Enrollment ID: O20130321000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Otto Roberto Sandoval Linares, MD 442 Civic Center Dr, Augusta, ME 04330-8572 Ph: (207) 622-6319 | Otto Roberto Sandoval Linares, MD 442 Civic Center Dr, Augusta, ME 04330-8572 Ph: (207) 622-6319 |
Anil K Goswami, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1 Va Ctr, Augusta, ME 04330 Phone: 207-623-8422 |