| Christine Wyman, | |
|
1155 Lisbon St, Lewiston, ME 04240-5025 | |
| (207) 783-9141 | |
| Not Available |
| Full Name | Christine Wyman |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1155 Lisbon St, Lewiston, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780051037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | MC15465 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC17105 (Maine) | Primary |
| Entity Name | Mid Coast Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932164795 PECOS PAC ID: 5496739468 Enrollment ID: O20040623001212 |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Wyman, 1155 Lisbon St, Lewiston, ME 04240-5025 Ph: (207) 783-9141 | Christine Wyman, 1155 Lisbon St, Lewiston, ME 04240-5025 Ph: (207) 783-9141 |
Cynthia K Bailey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 230 Bartlett St, Lewiston, ME 04240 Phone: 207-783-9141 | |
Deanne M Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 Central Ave, Lewiston, ME 04240 Phone: 207-795-4180 Fax: 207-753-6419 | |
Jill Chatburn, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1155 Lisbon St, Lewiston, ME 04240 Phone: 207-783-9141 | |
Jane W Hersey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 Campus Ave Ste A&b, Lewiston, ME 04240 Phone: 207-755-3434 Fax: 207-755-3474 | |
James W Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1155 Lisbon St, Lewiston, ME 04240 Phone: 207-783-9141 | |
Mr. Joseph M Graham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Laase Ave, Lewiston, ME 04240 Phone: 207-376-5616 Fax: 207-241-7379 | |
Nathan Miller, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 331 Pine St, Lewiston, ME 04240 Phone: 207-689-5362 |