| Mdk Medical | |
|
58 Laurel St Ellsworth ME 04605-2305 | |
| (207) 659-5546 | |
| Not Available |
| Full Name | Mdk Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 58 Laurel St, Ellsworth, Maine |
| Authorized Official Name and Position | Mark Kaplan (OWNER) |
| Authorized Official Contact | 2076595546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdk Medical 58 Laurel St Ellsworth ME 04605-2305 Ph: (207) 659-5546 | Mdk Medical 58 Laurel St Ellsworth ME 04605-2305 Ph: (207) 659-5546 |
| NPI Number | 1780445007 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 10/17/2024 |
| Medicare PECOS PAC ID | 2769912609 |
|---|---|
| Medicare Enrollment ID | O20250207001478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780445007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Mark D Kaplan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861498461 PECOS PAC ID: 3173580503 Enrollment ID: I20041216000668 |
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