| Susan D Paul, MD | |
|
25 Hospital Dr, Bridgton, ME 04009-1167 | |
| (207) 647-2311 | |
| (207) 647-6015 |
| Full Name | Susan D Paul |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 25 Hospital Dr, Bridgton, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316102478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD19838 (Maine) | Primary |
| 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 | Blueprint Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467927483 PECOS PAC ID: 1153665062 Enrollment ID: O20200609001722 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan D Paul, MD 180 Church Hill Rd Ste 1, Leeds, ME 04263-3418 Ph: (207) 524-3501 | Susan D Paul, MD 25 Hospital Dr, Bridgton, ME 04009-1167 Ph: (207) 647-2311 |
Suzanne O Dater, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Portland Rd, Bridgton, ME 04009 Phone: 207-255-7552 Fax: 207-569-6150 | |
Hans Boedeker, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Hospital Dr, Bridgton, ME 04009 Phone: 207-647-6120 Fax: 207-647-6013 | |
Henry Roy Iii, Internal Medicine Medicare: Medicare Enrolled Practice Location: 25 Hospital Dr, Bridgton, ME 04009 Phone: 207-647-2311 Fax: 207-647-6015 | |
Stuart Eisenberg, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 15 Hospital Dr, Bridgton, ME 04009 Phone: 207-647-6240 Fax: 207-647-6223 |