| Jean Marie Antonucci, MD | |
|
115 Mt Blue Cir, Ste 2, Farmington, ME 04938-6239 | |
| (207) 778-3313 | |
| (207) 778-3544 |
| Full Name | Jean Marie Antonucci |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 115 Mt Blue Cir, Farmington, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356347900 | NPI | - | NPPES |
| 12782 | Other | ME | STATE LISENSE |
| 048285 | Other | ME | ANTHEM |
| 298980000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 12782 (Maine) | Primary |
| Entity Name | Mainegeneral Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718 |
| Entity Name | Sebasticook Valley Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457461477 PECOS PAC ID: 3476462797 Enrollment ID: O20040513001197 |
| Entity Name | Teladoc Health Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245403567 PECOS PAC ID: 3173786837 Enrollment ID: O20210115000582 |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Marie Antonucci, MD 115 Mt Blue Cir, Ste 2, Farmington, ME 04938-6239 Ph: (207) 778-3313 | Jean Marie Antonucci, MD 115 Mt Blue Cir, Ste 2, Farmington, ME 04938-6239 Ph: (207) 778-3313 |
Dr. Emily Elizabeth Young, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-778-6031 Fax: 207-779-2632 | |
Brian M Rueter, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-779-2456 Fax: 207-779-2496 | |
Taylor Leigh Munsch, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 181 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-778-3326 Fax: 207-778-3102 | |
Kelsey Charlene Campbell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 181 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-778-3326 Fax: 207-778-3102 | |
Kristine Sanden, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 181 Franklin Health Commons, Farmington, ME 04938 Phone: 207-778-3326 Fax: 207-778-3102 | |
Dr. Stephen Daniel Ruda, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-778-6031 |