| Jessica Cicoria, DO | |
|
22 Donovans Ln, York, ME 03909-5164 | |
| (607) 437-7788 | |
| Not Available |
| Full Name | Jessica Cicoria |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 22 Donovans Ln, York, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093205213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OP61450605 (Washington) | Secondary |
| 207Q00000X | Family Medicine | OC-0302 (Idaho) | Secondary |
| 207Q00000X | Family Medicine | DO3364 (Maine) | Primary |
| Entity Name | Rural Physicians Group-pannu Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861808719 PECOS PAC ID: 0345467486 Enrollment ID: O20140813000673 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Cicoria, DO 22 Donovans Ln, York, ME 03909-5164 Ph: (607) 437-7788 | Jessica Cicoria, DO 22 Donovans Ln, York, ME 03909-5164 Ph: (607) 437-7788 |
Dr. Michael N Gauthier, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 127 Long Sands Rd, Suite 11, York, ME 03909 Phone: 207-363-8430 Fax: 207-351-3006 | |
Dr. Prince Chukwudi Madumere, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 127 Long Sands Rd, York, ME 03909 Phone: 207-363-8430 Fax: 207-363-9864 | |
Dr. Sandra Leigh Corbett, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 127 Long Sands Rd, Suite 11, York, ME 03909 Phone: 207-363-8430 Fax: 207-351-3006 | |
Dr. Stephen M Jendzejec, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 127 Long Sands Rd, Suite 11, York, ME 03909 Phone: 207-363-8430 Fax: 207-351-3006 | |
Dr. Trevor M Braden, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12 Hospital Dr, York, ME 03909 Phone: 207-363-4321 | |
Elizabeth S Robinson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 127 Long Sands Rd, York, ME 03909 Phone: 207-363-8430 |