William Wallace Bookheim, PA is a
Physician Assistant based in Madison, Maine. William Wallace Bookheim is licensed to practice in Maine (license number PA-036) and his current practice location is
61 Shusta Rd, Madison, Maine. He can be reached at his office (for appointments etc.) via phone at
(207) 872-4500.
NPI number for William Wallace Bookheim is 1588820559 and his current mailing address is 61 Shusta Rd, Madison, Maine. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588820559.
Provider's Profile
| Full Name | William Wallace Bookheim |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 61 Shusta Rd, Madison, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588820559
- Provider Enumeration Date: 07/30/2008
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for William Wallace Bookheim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588820559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA-036 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. William Wallace Bookheim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
William Wallace Bookheim, PA
61 Shusta Rd,
Madison, ME 04950-4100
Ph: () - | William Wallace Bookheim, PA
61 Shusta Rd,
Madison, ME 04950-4100
Ph: (207) 872-4500 |
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