| Jeffrey A Wall, DO | |
|
2 Livewell Dr, Kennebunk, ME 04043-6762 | |
| (207) 467-8898 | |
| (207) 467-8969 |
| Full Name | Jeffrey A Wall |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 2 Livewell Dr, Kennebunk, Maine |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447288808 | NPI | - | NPPES |
| 048350 | Other | ME | ANTHEM |
| 9386763 | Other | ME | PHCS |
| 9759878 | Other | ME | CIGNA |
| 3769958 | Other | ME | AETNA |
| 431799199 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO1877 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Androscoggin Home Healthcare And Hospice | Lewiston, ME | Home health agency |
| Androscoggin Home Care & Hospice | Lewiston, ME | Hospice |
| Central Maine Medical Center | Lewiston, ME | Hospital |
| St Mary's Regional Medical Center | Lewiston, ME | Hospital |
| Rumford Hospital | Rumford, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Maine Medical Center | 2567379563 | 350 |
| Select Physical Therapy Holdings Inc | 9537076401 | 2148 |
| Entity Name | Central Maine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey A Wall, DO 2 Livewell Dr, Kennebunk, ME 04043-6762 Ph: (207) 467-8898 | Jeffrey A Wall, DO 2 Livewell Dr, Kennebunk, ME 04043-6762 Ph: (207) 467-8898 |
Robert T Vaughan Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4 Shape Dr, Kennebunk, ME 04043 Phone: 207-467-8988 Fax: 207-467-8969 | |
Dr. Daniel North, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Livewell Dr, Kennebunk, ME 04043 Phone: 207-467-8988 | |
Liana Rubinoff, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Livewell Dr, Kennebunk, ME 04043 Phone: 207-294-8404 | |
Audrey Okun-langlais, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 26 Barnard Ln, Kennebunk, ME 04043 Phone: 207-502-7074 Fax: 207-502-7079 | |
Earl R Freeman Jr., D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 21 Western Ave # A, Kennebunk, ME 04043 Phone: 207-967-3726 Fax: 207-967-3702 | |
Dr. Martha Bear, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2 Livewell Dr, Kennebunk, ME 04043 Phone: 207-467-8988 | |
Howard Stephen Reinheimer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2 Livewell Dr, Kennebunk, ME 04043 Phone: 207-661-2018 |