| Charles Kevin Bergeron Poulin, | |
|
76 High St, Lewiston, ME 04240-7649 | |
| (207) 795-2800 | |
| Not Available |
| Full Name | Charles Kevin Bergeron Poulin |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 76 High 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 |
|---|---|---|---|
| 1992291249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | EC18180 (Maine) | Primary |
| Entity Name | Bridgton Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154370153 PECOS PAC ID: 8123919099 Enrollment ID: O20040322000534 |
| 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 | Rumford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205991122 PECOS PAC ID: 3870583511 Enrollment ID: O20040514000890 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Kevin Bergeron Poulin, 76 High St, Lewiston, ME 04240-7649 Ph: (207) 795-2800 | Charles Kevin Bergeron Poulin, 76 High St, Lewiston, ME 04240-7649 Ph: (207) 795-2800 |
Brock Tostenson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 76 High St, Lewiston, ME 04240 Phone: 207-795-2800 | |
Leo Paraskevopoulos, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 76 High St, Lewiston, ME 04240 Phone: 207-795-2800 | |
Eliza Foster, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 76 High St, Lewiston, ME 04240 Phone: 207-795-2800 | |
Larry Spencer Fitch, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 76 High St, Lewiston, ME 04240 Phone: 207-795-2800 | |
Dashiell Jordan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 Campus Ave Ste 201, Lewiston, ME 04240 Phone: 207-777-8810 Fax: 207-777-8155 | |
Patricia Collins, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 76 High St, Lewiston, ME 04240 Phone: 207-795-2800 | |
Dr. Elizabeth E Rothe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 77 Bates St, Suite 201, Lewiston, ME 04240 Phone: 207-795-8465 Fax: 207-795-8471 |