| Peter C Goth, MD | |
|
140 Academy St, Presque Isle, ME 04769-3102 | |
| (207) 768-4100 | |
| (207) 768-4014 |
| Full Name | Peter C Goth |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 140 Academy St, Presque Isle, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841271145 | NPI | - | NPPES |
| 1841271145 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD12503 (Maine) | Primary |
| Entity Name | Emergency Medicine Services Of Maine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578032058 PECOS PAC ID: 1052657616 Enrollment ID: O20190118000889 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter C Goth, MD 140 Academy St, Presque Isle, ME 04769-3102 Ph: (207) 768-4100 | Peter C Goth, MD 140 Academy St, Presque Isle, ME 04769-3102 Ph: (207) 768-4100 |
Edwin Rosendo, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Academy St, Presque Isle, ME 04769 Phone: 207-768-4000 | |
Dr. Stacy-jo W. Jandreau, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Academy St, Presque Isle, ME 04769 Phone: 207-768-4100 Fax: 207-768-4014 | |
Dr. John A Beaulieu, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Academy St, Presque Isle, ME 04769 Phone: 207-768-4100 |