Victoria A Deane, LAC - Preventive Medicine in Portland, ME

Victoria A Deane, LAC is a Preventive Medicine - Sports Medicine physician based in Portland, Maine. Victoria A Deane is licensed to practice in Maine (license number AC625) and her current practice location is 37 Fall Brook St, Portland, Maine. She can be reached at her office (for appointments etc.) via phone at (908) 268-3552.

NPI number for Victoria A Deane is 1063064285 and her current mailing address is 125 Forest Unit 11072, Portland, Maine. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063064285.

Contact Information

Victoria A Deane, LAC
37 Fall Brook St,
Portland, ME 04103-4224
(908) 268-3552
Not Available

Map and Direction




Physician's Profile

Full NameVictoria A Deane
GenderFemale
SpecialityPreventive Medicine - Sports Medicine
Location37 Fall Brook St, Portland, Maine
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063064285
  • Provider Enumeration Date: 07/09/2019
  • Last Update Date: 07/09/2019

Medical Identifiers

Medical identifiers for Victoria A Deane such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063064285NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine AC625 (Maine)Secondary
207QS0010XFamily Medicine - Sports Medicine AC625 (Maine)Secondary
2083S0010XPreventive Medicine - Sports Medicine AC625 (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. Victoria A Deane 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 AddressPractice Location Address
Victoria A Deane, LAC
125 Forest Unit 11072,
Portland, ME 04104-4239

Ph: (908) 268-3552
Victoria A Deane, LAC
37 Fall Brook St,
Portland, ME 04103-4224

Ph: (908) 268-3552

Reviews and Comments


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