| Dr Melissa Keeport, MD | |
|
24 Miles Center Way, Damariscotta, ME 04543-4067 | |
| (207) 563-4250 | |
| (207) 810-4977 |
| Full Name | Dr Melissa Keeport |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 24 Miles Center Way, Damariscotta, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295199297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD22795 (Maine) | Primary |
| 208000000X | Pediatrics | 39891 (New Hampshire) | Secondary |
| 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 |
|---|---|
| Dr Melissa Keeport, MD 24 Miles Center Way, Damariscotta, ME 04543-4067 Ph: (207) 563-4250 | Dr Melissa Keeport, MD 24 Miles Center Way, Damariscotta, ME 04543-4067 Ph: (207) 563-4250 |
James Ross Macmahon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 79 Schooner St., Miles Medical Group (pediatrics) Vanwinkle Medical Bldg, Damariscotta, ME 04543 Phone: 207-563-4780 | |
Richard Carson Mcfaul, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5 Miles Center Way, Damariscotta, ME 04543 Phone: 207-563-4633 | |
Ryan T Donohue, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 24 Miles Center Way, Damariscotta, ME 04543 Phone: 207-563-4250 Fax: 207-810-4977 | |
Anne E Kornkven, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 24 Miles Center Way, Damariscotta, ME 04543 Phone: 207-563-4250 Fax: 207-810-4977 | |
Jarrod Tembreull, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 24 Miles Center Way, Damariscotta, ME 04543 Phone: 207-563-4250 | |
Sheila M Carroll, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 24 Miles Center Way, Damariscotta, ME 04543 Phone: 207-563-4250 Fax: 207-563-4246 |