Benjamin B Mailloux (NPI# 1366545972, PAC ID# 1254333958) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1366545972 |
| PAC ID by PECOS | 1254333958 |
| Professional Enrollment ID | I20091006000477 |
| Full Name | Benjamin B Mailloux |
| Organization Legal Name | WALDO COUNTY GENERAL HOSPITAL |
| Address |
116 Northport Ave Suite 220 Belfast ME 04915-6029 |
| Phone Number | 2075054015 |
| Gender | M |
| Credential | MD |
| Medical School | DARTMOUTH MEDICAL SCHOOL |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 2163332883 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 201312 | WALDO COUNTY GENERAL HOSPITAL |
| 200001 | ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 116 Northport Ave, Suite 220, Belfast, ME 04915-6029 | 2075054015 | WALDO COUNTY GENERAL HOSPITAL |
| Organization Legal Name | WALDO COUNTY GENERAL HOSPITAL |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Damon M Jordan | Physician Assistant | Waldo County General Hospital | 16 Fahey St, Belfast, ME 04915-6029 |
| Matthew S Molison | Family Practice | Waldo County General Hospital | 16 Fahey St, Belfast, ME 04915-6029 |
| James A Stevenson | Neurology | Waldo County General Hospital | 16 Fahey St, Belfast, ME 04915-6029 |
| Bruce A Lastra | Obstetrics/gynecology | Waldo County General Hospital | 16 Fahy St, Suite 108, Belfast, ME 04915-6029 |
| Steven G Wilson | Family Practice | Waldo County General Hospital | 116 Northport Ave, Belfast, ME 04915-6029 |
| Jeffrey Newsom | Family Practice | Waldo County General Hospital | 116 Northport Ave, Belfast, ME 04915-6029 |
| Daniel J Hebert | Orthopedic Surgery | Waldo County General Hospital | 116 Northport Ave, Belfast, ME 04915-6029 |
| Dorothy A Carin | Family Practice | Waldo County General Hospital | 116 Northport Ave, Belfast, ME 04915-6029 |
| Annie J Wilson | Nurse Practitioner | Waldo County General Hospital | 118 Northport Ave, Belfast, ME 04915-6029 |
| Julie H Hurley | Family Practice | Waldo County General Hospital | 16 Fahey St, Belfast, ME 04915-6029 |
| Street Address |
116 NORTHPORT AVE SUITE 220 |
| City | BELFAST |
| State | ME |
| Zip | 04915-6029 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven G Wilson | Family Practice | Waldo County General Hospital | 116 Northport Ave, Belfast, ME 04915-6029 |
| Jeffrey Newsom | Family Practice | Waldo County General Hospital | 116 Northport Ave, Belfast, ME 04915-6029 |
| Daniel J Hebert | Orthopedic Surgery | Waldo County General Hospital | 116 Northport Ave, Belfast, ME 04915-6029 |
| Dorothy A Carin | Family Practice | Waldo County General Hospital | 116 Northport Ave, Belfast, ME 04915-6029 |
| Janice I Nicholson | Physician Assistant | Waldo County General Hospital | 116 Northport Ave, Belfast, ME 04915-6029 |
| Deborah J Peabody | Family Practice | Waldo County General Hospital | 116 Northport Ave, Belfast, ME 04915-6029 |
| Bernadette O Stevenson | Family Practice | Waldo County General Hospital | 116 Northport Ave, Belfast, ME 04915-6029 |
| Richard B Read | Family Practice | Waldo County General Hospital | 116 Northport Ave, Belfast, ME 04915-6029 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen J Young | Emergency Medicine | 75 Northport Ave, Belfast, ME 04915-6000 | |
| David A Thanhauser | Family Practice | 75 Northport Ave, Belfast, ME 04915-6000 | |
| Barbara Payson Oberg-higgins | Nephrology | Mainehealth | 125 Northport Ave, Wcmp Nephrology, Belfast, ME 04915-6002 |
| Gregory Richard Grotz | Diagnostic Radiology | Belfast Bay Radiology, Pa | 118 Northport Ave, Belfast, ME 04915-6009 |
| John T Jones | Diagnostic Radiology | Belfast Bay Radiology, Pa | 118 Northport Ave, Belfast, ME 04915-6009 |
| Nancy E Webb | Diagnostic Radiology | Belfast Bay Radiology, Pa | 118 Northport Ave, Belfast, ME 04915-6009 |
| Thomas R Maycock | Family Practice | Thomas R. Maycock | 9 Fahey St, Belfast, ME 04915-6028 |
| Heather M Ward | Family Medicine | Mainehealth | 9 Fahy St, Belfast, ME 04915-6028 |
| Robert E Grondahl | Obstetrics/gynecology | Mainehealth | 16 Fahy St, Suite 108, Belfast, ME 04915-6029 |
| James C Delehanty | Internal Medicine | 16 Fahey St, Suite 208, Belfast, ME 04915-6029 | |
| Find all physicians in zip 04915 | |||
| City | BELFAST |
| Zip Code | 04915 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | BELFAST + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Benjamin B Mailloux.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.