MEDICARE: DAVID G PRESTON M.D.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	012727	ME

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1100094189	OTHER		RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	E05192	OTHER		HARVARD PILGRIM HEALTH
3	004000	OTHER	ME	ANTHEM OF MAINE
4	5129623	OTHER		AETNA NON-HMO
5	1042587	OTHER		AETNA HMO
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1871559203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID G PRESTON M.D.

Provider Business Mailing Address
First Line	:	PO BOX 247
Second Line	:
City	:	NORTH VASSALBORO
State	:	ME
Zip	:	04962-0247
Country	:	US
Telephone Number	:	207-873-1098
Fax Number	:	207-873-5461

Provider Business Practice Location Address
First Line	:	80 GARLAND RD
Second Line	:
City	:	WINSLOW
State	:	ME
Zip	:	04901-0600
Country	:	US
Telephone Number	:	207-873-1098
Fax Number	:	207-861-5461

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	05/05/2008

80 GARLAND RD
WINSLOW, ME
04901-0600

Practice Phone: 207-873-1098
Practice Fax: 207-873-4514