| Elizabeth Laverack, M D | |
|
50 Union St, Ellsworth, ME 04605-1534 | |
| (207) 664-5311 | |
| (207) 664-5305 |
| Full Name | Elizabeth Laverack |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 50 Union St, Ellsworth, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053391300 | NPI | - | NPPES |
| 000210032 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD13531 (Maine) | Primary |
| 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 |
| Entity Name | Mount Desert Island Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790764512 PECOS PAC ID: 0941250963 Enrollment ID: O20050127000611 |
| Entity Name | Mount Desert Island Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1790764512 PECOS PAC ID: 0941250963 Enrollment ID: O20050718000781 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Laverack, M D 50 Union St, Ellsworth, ME 04605-1534 Ph: (207) 664-5311 | Elizabeth Laverack, M D 50 Union St, Ellsworth, ME 04605-1534 Ph: (207) 664-5311 |
Dr. Kathryn Rensenbrink, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 32 Resort Way, Ellsworth, ME 04605 Phone: 207-664-7780 Fax: 207-664-7723 |
Gale Anne Mccarty, MD, FACP, FACR Internal Medicine Medicare: Medicare Enrolled Practice Location: 50 Union St, Maine Coast Rheumatology, Ellsworth, ME 04605 Phone: 207-664-5430 Fax: 207-664-5463 |
Dr. Wesam A. Bolkhir, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Union St, Ellsworth, ME 04605 Phone: 207-664-5311 |
Dr. Anita D Kolisch, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 32 Resort Way, Ellsworth, ME 04605 Phone: 207-664-7780 Fax: 207-664-7723 |
Mr. Stephen H Nightingale, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 33 Seaveys Way, # 2, Ellsworth, ME 04605 Phone: 207-667-2422 Fax: 207-667-0135 |
Richard A Larocco, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 32 Resort Way, Ellsworth Internal Medicine, Ellsworth, ME 04605 Phone: 207-664-5480 Fax: 207-664-5490 |
Douglas Lee Trenkle, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 306 Main St, Maine Coast Specialty Clinic, Ellsworth, ME 04605 Phone: 207-664-5566 Fax: 207-664-5822 |