| Nicole J Smith-sandilands, MD | |
|
242 Brunswick St, Old Town, ME 04468-1613 | |
| (207) 827-6128 | |
| Not Available |
| Full Name | Nicole J Smith-sandilands |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 242 Brunswick St, Old Town, Maine |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134297765 | NPI | - | NPPES |
| 434719099 | Medicaid | ME | |
| 113650708 | Other | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD18267 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Hospital | Bangor, ME | Hospital |
| Penobscot Valley Hospital | Lincoln, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Joseph Hospital | 6406766336 | 170 |
| Entity Name | Eastern Maine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088 |
| Entity Name | St Joseph Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154321545 PECOS PAC ID: 6406766336 Enrollment ID: O20040604000895 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole J Smith-sandilands, MD Po Box 1599, Bangor, ME 04402-1599 Ph: () - | Nicole J Smith-sandilands, MD 242 Brunswick St, Old Town, ME 04468-1613 Ph: (207) 827-6128 |
Christopher Albert Ritter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-5533 | |
Crystal A Dockery, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-6605 | |
Christopher M Buck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick Street, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-6605 | |
Patricia A Elliott, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-5533 | |
Susan E Cheff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-5533 | |
Dianne E Kallen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-5533 |