| Tammy Carr, | |
|
30 Boynton St, Eastport, ME 04631-1306 | |
| (207) 853-6001 | |
| (207) 853-4031 |
| Full Name | Tammy Carr |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 30 Boynton St, Eastport, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528483682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | XL4285 (Maine) | Primary |
| Entity Name | Health Affiliates Maine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932413556 PECOS PAC ID: 1951594076 Enrollment ID: O20101021000912 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Carr, Po Box H, Eastport, ME 04631-0909 Ph: (207) 853-6001 | Tammy Carr, 30 Boynton St, Eastport, ME 04631-1306 Ph: (207) 853-6001 |
Mrs. Katherine M Marks Cook, LCSW LADC Counselor Medicare: Medicare Enrolled Practice Location: 30 Boynton St, Box H Eastport Health Care Inc, Eastport, ME 04631 Phone: 207-853-6001 Fax: 207-853-4028 | |
Mr. Brian C Brooks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Boynton St, Eastport, ME 04631 Phone: 207-853-6001 Fax: 207-853-6180 | |
David E Brass, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Boynton St, Eastport, ME 04631 Phone: 207-853-4031 Fax: 207-853-4031 | |
Jan M Brown, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Boynton St, Eastport, ME 04631 Phone: 207-853-6001 Fax: 207-853-4031 | |
Anne M Leaver, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Boynton St, Eastport, ME 04631 Phone: 207-853-6001 |