| Jessica S King, DO | |
|
481 Route 11, Champlain, NY 12919-4819 | |
| (518) 298-2691 | |
| (518) 298-8241 |
| Full Name | Jessica S King |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 481 Route 11, Champlain, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649615923 | NPI | - | NPPES |
| 04385342 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 279899 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Androscoggin Home Healthcare And Hospice | Lewiston, ME | Home health agency |
| Rumford Hospital | Rumford, ME | Hospital |
| Central Maine Medical Center | Lewiston, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rumford Community Family Health Center Inc. | 1557340460 | 25 |
| Select Physical Therapy Holdings Inc | 9537076401 | 1463 |
| 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 |
| Entity Name | Rumford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205991122 PECOS PAC ID: 3870583511 Enrollment ID: O20040514000890 |
| Entity Name | Rumford Community Family Health Center Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578599775 PECOS PAC ID: 1557340460 Enrollment ID: O20040715000176 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica S King, DO 9 Carey Rd, Queensbury, NY 12804-7880 Ph: (518) 761-0300 | Jessica S King, DO 481 Route 11, Champlain, NY 12919-4819 Ph: (518) 298-2691 |
Maurice A Racine, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241 | |
Aaron Esterson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241 | |
Candice Michelle Ciolac, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 481 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241 | |
Stephanie Papaconstantinou, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241 | |
Lisa Marie Skarling, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241 | |
Nicole Brianna Cerklewich, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8421 |