| Dr Tara Kay Pelletier, DO | |
|
11 Hills Beach Rd, Biddeford, ME 04005-9599 | |
| (207) 602-2358 | |
| (207) 602-5904 |
| Full Name | Dr Tara Kay Pelletier |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 11 Hills Beach Rd, Biddeford, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124016118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 224963 (Massachusetts) | Secondary |
| 207Q00000X | Family Medicine | DO1957 (Maine) | Primary |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639194509 PECOS PAC ID: 7517860588 Enrollment ID: O20040206000472 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tara Kay Pelletier, DO Po Box 284, Brattleboro, VT 05302-0284 Ph: (207) 602-2358 | Dr Tara Kay Pelletier, DO 11 Hills Beach Rd, Biddeford, ME 04005-9599 Ph: (207) 602-2358 |
Mr. James J Richard, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11 Hills Beach Rd, Biddeford, ME 04005 Phone: 207-602-2358 Fax: 207-602-5904 | |
David Strassler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 61 Barra Road, Biddeford, ME 04005 Phone: 207-283-1441 Fax: 207-523-1136 | |
Dr. Daniel Mazza Iii, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Drive, Biddeford, ME 04005 Phone: 207-294-5050 | |
Rita K Kamra, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 Graham St, Biddeford, ME 04005 Phone: 076-023-5712 Fax: 207-602-3573 | |
Dr. Atit Sharad Patel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 46 Barra Rd Ste 201202, Biddeford, ME 04005 Phone: 207-282-3349 Fax: 207-294-3541 | |
Kathryn P Desrosiers, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 22 W Cole Rd Ste 101, Biddeford, ME 04005 Phone: 207-780-6565 Fax: 207-800-4932 |