| Lincoln Pan, LCSW | |
|
735 Wilson St, Brewer, ME 04412-1000 | |
| (079) 891-5672 | |
| Not Available |
| Full Name | Lincoln Pan |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 735 Wilson St, Brewer, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891567137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 12443784-3501 (Utah) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC24057 (Maine) | Primary |
| Entity Name | Penobscot Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427169010 PECOS PAC ID: 0143212670 Enrollment ID: O20040819000698 |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Pan, LCSW Po Box 1599, Bangor, ME 04402-1599 Ph: () - | Lincoln Pan, LCSW 735 Wilson St, Brewer, ME 04412-1000 Ph: (079) 891-5672 |
Mr. Dustin Bernard Przybylski, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 133 Union St, Brewer, ME 04412 Phone: 207-949-6646 | |
Vauna Haza, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Holyoke St, Brewer, ME 04412 Phone: 207-262-5059 | |
Jennifer Marie Holesha, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 797 Wilson St, Brewer, ME 04412 Phone: 207-973-6494 | |
Laurie A Brophy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 46 Betton St, Suite 205, Brewer, ME 04412 Phone: 207-356-4067 | |
Ms. Jennifer Lynn Moss, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 735 Wilson St, Brewer, ME 04412 Phone: 207-945-5247 Fax: 207-947-0435 | |
Julie Reva Kominsky, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 191 S Main St, Brewer, ME 04412 Phone: 207-745-1492 | |
Mrs. Decha Bailey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 17 Doughty Dr Ste 102, Brewer, ME 04412 Phone: 207-263-0134 |