| Amanda Dibiase, | |
|
67 Shaker Rd, Suite 7, Gray, ME 04039-9640 | |
| (207) 657-7700 | |
| Not Available |
| Full Name | Amanda Dibiase |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 67 Shaker Rd, Gray, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174991681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | MC14978 (Maine) | Primary |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Entity Name | Spurwink Services Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760507297 PECOS PAC ID: 7810026945 Enrollment ID: O20100527000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Dibiase, 67 Shaker Rd, Suite 7, Gray, ME 04039-9640 Ph: () - | Amanda Dibiase, 67 Shaker Rd, Suite 7, Gray, ME 04039-9640 Ph: (207) 657-7700 |
Kayla Mae Bailey, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 26 Main Street, Gray, ME 04039 Phone: 207-657-7700 | |
Mrs. Judith Colby-walker, MCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 67 Shaker Rd Apt 7, Gray, ME 04039 Phone: 207-657-7700 Fax: 207-657-7770 | |
Mark R. Olson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 56 Charlonate Dr, Gray, ME 04039 Phone: 207-657-2203 Fax: 207-657-2013 | |
Karen Burke Lane, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31 Main St Ste 1, Gray, ME 04039 Phone: 207-894-0049 | |
Sandra J Hinckley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 67 Shaker Rd Ste 7, Christopher Aaron Counseling Center, Gray, ME 04072 Phone: 204-294-4657 | |
Ms. Judith M Rice, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 67 Shaker Rd, Suite 10, Gray, ME 04039 Phone: 207-657-5344 |