Jon Patrick Donnelly

M.D | Pediatric Cardiology | Male

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Complete Profile:

Jon Patrick Donnelly basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Jon Patrick Donnelly
Credential :	M.D
Gender :	Male

Business Address:

Jon Patrick Donnelly address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	71 Us Route 1, Suite C Scarborough, ME, 04074-7173 United States
Phone Number :	207-883-5532

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1023102456
NPI Entity Type :	Individual
First Enrolment Date :	02 Oct, 2006
Last Updated On :	03 Jan, 2020

Medicare Participation:

Jon Patrick Donnelly participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7911949516
Medicare Enrollment ID :	I20050524000880
Primary Specialty :	Pediatric Medicine
Medical School :	University Of North Carolina At Chapel Hill School Of Medicine
Graduation Year :	1990
Accepts Medicare?	Yes. Jon Patrick Donnelly accepts medicare insurance.

Group Practice Association:

Jon Patrick Donnelly is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jon Patrick Donnelly is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Maine Medical Partners	9335043967	808	96 Campus Dr Scarborough, ME - 040747163 Ph: 2078835532	Yes
Maine Medical Partners	9335043967	808	22 Bramhall St Portland, ME - 041023134 Ph: 2076625400	Yes
Maine Medical Partners	9335043967	808	887 Congress St Suite 200 Portland, ME - 041023166 Ph: 2077715549	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jon Patrick Donnelly are as mentioned. Primary taxonomy code for Jon Patrick Donnelly, M.D is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	MD14324	ME

Legacy Identifiers:

Other legacy medical identifiers of Jon Patrick Donnelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
315420099	MEDICAID	ME

Other Practice Locations:

Practice Address	City, State	Phone Number
93 CAMPUS AVE, LEWISTON, ME, 04240-6030 United States	LEWISTON, ME	207-755-3240

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	5 Pearl Street Cape Elizabeth, ME, 04107 United States
Phone Number :	207-799-6096

Business Location:

Patients can refer following map for directions to Jon Patrick Donnelly practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.