| Dr Surapaneni P Ramanadha Rao, MD | |
|
58 Main St, Bucksport, ME 04416-4112 | |
| (207) 469-6880 | |
| (207) 469-3766 |
| Full Name | Dr Surapaneni P Ramanadha Rao |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 56 Years |
| Location | 58 Main St, Bucksport, 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 |
|---|---|---|---|
| 1417958851 | NPI | - | NPPES |
| 1417958851 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD9356 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northern Light Blue Hill Memorial Hospital | Blue hill, ME | Hospital |
| Mount Desert Island Hospital | Bar harbor, ME | Hospital |
| Northern Light Maine Coast Hospital | Ellsworth, ME | Hospital |
| St Joseph Hospital | Bangor, ME | Hospital |
| Eastern Maine Medical Center | Bangor, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mount Desert Island Hospital | 0941250963 | 43 |
| Entity Name | Maine Coast Regional Health Facilities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740249739 PECOS PAC ID: 1052208113 Enrollment ID: O20040804001405 |
| Entity Name | Mount Desert Island Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790764512 PECOS PAC ID: 0941250963 Enrollment ID: O20050127000611 |
| Entity Name | The Blue Hill Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023057809 PECOS PAC ID: 7911991336 Enrollment ID: O20080312000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Surapaneni P Ramanadha Rao, MD 58 Main St, Bucksport, ME 04416-4112 Ph: (207) 469-6880 | Dr Surapaneni P Ramanadha Rao, MD 58 Main St, Bucksport, ME 04416-4112 Ph: (207) 469-6880 |