234 STATE ST
BREWER, ME 04412-1519 US PECOS Enrolled
Ian Noel Tadeo Don Don S Panuncialman
Family Medicine Physician
- BREWER, ME
- Phone: (207)-989-0550
- Last Updated 5/9/2016
Overview
Ian Noel Tadeo Don Don S Panuncialman is a Family Medicine Physician in the BREWER area. Ian Noel Tadeo Don Don S Panuncialman primary office location is at 234 STATE ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1013190545 and the information was updated approximately 10 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 233959 | MA |
| MD20887 | ME |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Family Medicine Physician - Taxonomy Code 207Q00000X | ME | Y |
| Orthopaedic Surgeon - Taxonomy Code 207X00000X | MA | N |
| Student - Taxonomy Code 390200000X | -- | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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