Frederick A Van Mourik, is a
Family Medicine physician based in Gray, Maine. Frederick A Van Mourik is licensed to practice in Maine (license number 12383) and his current practice location is 116 Shaker Rd, Gray, Gray, Maine. He can be reached at his office (for appointments etc.) via phone at
(207) 657-3308.
NPI number for Frederick A Van Mourik is 1932188323 and his current mailing address is 116 Shaker Rd, Gray, Gray, Maine. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932188323.
Physician's Profile
| Full Name | Frederick A Van Mourik |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 116 Shaker Rd, Gray, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932188323
- Provider Enumeration Date: 01/13/2006
- Last Update Date: 03/21/2008
Medical Identifiers
Medical identifiers for Frederick A Van Mourik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932188323 | NPI | - | NPPES |
| 000203013 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 12383 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Frederick A Van Mourik is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Frederick A Van Mourik,
116 Shaker Rd, Gray,
Gray, ME 04039-9629
Ph: (207) 657-3308 | Frederick A Van Mourik,
116 Shaker Rd, Gray,
Gray, ME 04039-9629
Ph: (207) 657-3308 |
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