| Lynne M Tetreault, MD | |
|
5 Scamman St., Saco, ME 04072 | |
| (207) 282-3327 | |
| Not Available |
| Full Name | Lynne M Tetreault |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 5 Scamman St., Saco, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023104155 | NPI | - | NPPES |
| 268810099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD14722 (Maine) | Primary |
| Entity Name | Maine Medical Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144090 PECOS PAC ID: 9335043967 Enrollment ID: O20040331000191 |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Lynne M Tetreault, MD 301c Us Route 1, Scarborough, ME 04074-9701 Ph: (207) 396-8600 | Lynne M Tetreault, MD 5 Scamman St., Saco, ME 04072 Ph: (207) 282-3327 |
Alison H Kopelman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 655 Main St, Saco, ME 04072 Phone: 207-294-5959 Fax: 207-284-6291 | |
Robert A Faucette, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Scammon St, Suite 51, Saco, ME 04072 Phone: 207-282-3327 | |
Maura Beverlin Price, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13 Industrial Park Rd, Saco, ME 04072 Phone: 207-294-5959 Fax: 207-286-9853 |