Miss Melissa Grace Keroack, PT is a 
Physical Therapist physician based in Portland, Maine. Miss Melissa Grace Keroack is licensed to practice in Maine (license number PT4566) and her current practice location is 22 Bramhall St, Portland, Maine. She can be reached at her office (for appointments etc.) via phone at 
(207) 662-0111.
NPI number for Miss Melissa Grace Keroack is 1093272031 and her current mailing address is 22 Bramhall St, Portland, Maine. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093272031.
			
			
			
			
			
		 
		
		 
Physician's Profile
		
			
			
			| Full Name | Miss Melissa Grace Keroack | 
|---|
| Gender | Female | 
|---|
| Speciality | Physical Therapist | 
|---|
| Location | 22 Bramhall St, Portland, Maine | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1093272031
 - Provider Enumeration Date: 02/26/2019
 - Last Update Date: 02/26/2019
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Miss Melissa Grace Keroack such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1093272031 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 208100000X | Physical Medicine & Rehabilitation  | PT4566 (Maine) | Secondary | 
| 225100000X | Physical Therapist  | PT4566 (Maine) | Primary | 
		
		
			
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Melissa Grace Keroack is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Miss Melissa Grace Keroack, PT 22 Bramhall St, Portland, ME 04102-3134 Ph: (207) 662-0111 | Miss Melissa Grace Keroack, PT 22 Bramhall St, Portland, ME 04102-3134 Ph: (207) 662-0111 | 
		
		 
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