| Patricia A Elliott, MD | |
|
242 Brunswick St, Old Town, ME 04468 | |
| (207) 827-6128 | |
| (207) 827-5533 |
| Full Name | Patricia A Elliott |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 242 Brunswick St, Old Town, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275638546 | NPI | - | NPPES |
| 293680099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 012193 (Maine) | Primary |
| 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 |
|---|---|
| Patricia A Elliott, MD Po Box 1599, Bangor, ME 04402-1599 Ph: (207) 945-5247 | Patricia A Elliott, MD 242 Brunswick St, Old Town, ME 04468 Ph: (207) 827-6128 |
Christopher Albert Ritter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-5533 | |
Crystal A Dockery, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-6605 | |
Nicole J Smith-sandilands, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 | |
Christopher M Buck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick Street, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-6605 | |
Susan E Cheff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-5533 | |
Dianne E Kallen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-5533 |