| Emault Louis, MD | |
|
33 Mollison Way, Lewiston, ME 04240-5805 | |
| (207) 784-5782 | |
| (207) 783-9268 |
| Full Name | Emault Louis |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 33 Mollison Way, 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 |
|---|---|---|---|
| 1720277346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 230771 (Massachusetts) | Secondary |
| 208000000X | Pediatrics | TD71117 (Maine) | Primary |
| Entity Name | Child Health Foundation Of Boston Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619969920 PECOS PAC ID: 1557263340 Enrollment ID: O20040122000712 |
| Entity Name | Internal Medical Associates-ebnhc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558481879 PECOS PAC ID: 6103814371 Enrollment ID: O20040505000853 |
| Entity Name | East Boston Neighborhood Health Center Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316994411 PECOS PAC ID: 9032356050 Enrollment ID: O20130513000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Emault Louis, MD 33 Mollison Way, Lewiston, ME 04240-5805 Ph: (207) 784-5782 | Emault Louis, MD 33 Mollison Way, Lewiston, ME 04240-5805 Ph: (207) 784-5782 |
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 |