Samuel M Dicapua, DO | |
59 Mile Road, Wells, ME 04090 | |
(207) 646-0676 | |
(207) 646-0949 |
Full Name | Samuel M Dicapua |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 59 Mile Road, Wells, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336231539 | NPI | - | NPPES |
100009224 | Other | ME | GROUP TAX ID# |
1174615371 | Other | ME | GROUP NPI# |
005725 | Other | ME | ANTHEM |
431784599 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1303 (Maine) | Primary |
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 | Wells Family Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134309511 PECOS PAC ID: 8527154483 Enrollment ID: O20071024000095 |
Mailing Address | Practice Location Address |
---|---|
Samuel M Dicapua, DO Po Box 1089, Wells, ME 04090-1089 Ph: (207) 646-0676 | Samuel M Dicapua, DO 59 Mile Road, Wells, ME 04090 Ph: (207) 646-0676 |
Jill Charlotte Dimartinis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Sanford Rd, Wells, ME 04090 Phone: 207-646-5211 Fax: 207-641-8151 | |
Christine M Tremblay, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 59 Mile Road, Wells, ME 04090 Phone: 207-646-0677 Fax: 207-646-0949 | |
Jeffrey T Cote, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 59 Mile Road, Wells, ME 04090 Phone: 207-646-0676 Fax: 207-646-0949 |