| Amanda J Gagnon, DO | |
|
300 Main St, Lewiston, ME 04240-7027 | |
| (207) 662-0111 | |
| Not Available |
| Full Name | Amanda J Gagnon |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 300 Main 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 |
|---|---|---|---|
| 1316574635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | DO3559 (Maine) | Secondary |
| 208000000X | Pediatrics | DO3559 (Maine) | Primary |
| Entity Name | Central Maine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441 |
| 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 |
|---|---|
| Amanda J Gagnon, DO 300 Main St, Lewiston, ME 04240-7027 Ph: () - | Amanda J Gagnon, DO 300 Main St, Lewiston, ME 04240-7027 Ph: (207) 662-0111 |
Stephanie Boggs, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Main St, Lewiston, ME 04240 Phone: 207-795-0111 | |
Marly Leigh Biermann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Main St, Lewiston, ME 04240 Phone: 207-795-7575 Fax: 207-344-0350 | |
Kathleen S Bain, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12 High St, Ste 301, Lewiston, ME 04240 Phone: 207-795-5730 Fax: 207-795-5749 | |
Dr. Kathlyn Valleau Wilde, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 33 Mollison Way, Lewiston, ME 04240 Phone: 207-784-5784 Fax: 207-783-9268 | |
Amy Belisle, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12 High St, Suite 200, Lewiston, ME 04240 Phone: 207-795-0111 | |
Mrs. Linda J Glass, M.D., F.A.A.P. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 33 Mollison Way, Lewiston, ME 04240 Phone: 207-784-5782 Fax: 207-786-5756 | |
Mr. George H Glass, M.D., F.A.A.P. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 33 Mollison Way, Lewiston, ME 04240 Phone: 207-784-5782 Fax: 207-786-5756 |