| Laurie A Churchill, MD | |
|
22 Hospital Ln, Calais, ME 04619-1329 | |
| (207) 454-7521 | |
| Not Available |
| Full Name | Laurie A Churchill |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 22 Hospital Ln, Calais, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962463224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 012050 (Maine) | Primary |
| Entity Name | Eastport Health Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093752917 PECOS PAC ID: 3577592880 Enrollment ID: O20050808000284 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie A Churchill, MD 30 Germain St, Calais, ME 04619-1527 Ph: (207) 454-3836 | Laurie A Churchill, MD 22 Hospital Ln, Calais, ME 04619-1329 Ph: (207) 454-7521 |
Dr. James Edward Eshleman, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 37 Palmer St Ste 3, Calais, ME 04619 Phone: 207-454-8195 | |
Carlos A Ahumada, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 37 Palmer St, Calais, ME 04619 Phone: 207-454-8195 Fax: 207-454-3840 | |
Maria Teresa Zientara, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1410 River Rd, Calais, ME 04619 Phone: 207-454-8188 | |
Jacqueline M Russell, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 37 Palmer St Ste 3, Calais, ME 04619 Phone: 207-454-8195 |