| Jodi Alexis Conrad, DO | |
|
111 Franklin Health Cmns, Farmington, ME 04938-6144 | |
| (207) 778-6031 | |
| Not Available |
| Full Name | Jodi Alexis Conrad |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 111 Franklin Health Cmns, Farmington, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023556990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 26413 (Mississippi) | Secondary |
| 207P00000X | Emergency Medicine | DO3199 (Maine) | Primary |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050418000414 |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Alexis Conrad, DO 111 Franklin Health Commons, Farmington, ME 04938-1308 Ph: (207) 778-6031 | Jodi Alexis Conrad, DO 111 Franklin Health Cmns, Farmington, ME 04938-6144 Ph: (207) 778-6031 |
Jesse Butler, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-778-6031 Fax: 207-779-2632 | |
Dr. Aaron Samuel Ratner, DO, MS Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-778-6031 Fax: 207-779-2632 | |
Dr. Viviam Skarleth Trejo, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-778-6031 Fax: 207-779-2632 | |
Melissa Marie Staley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-778-6031 Fax: 207-779-2632 | |
Ryan David Demmendaal, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-778-6031 Fax: 207-779-2632 | |
Dr. Andrew Michael Weller, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-778-6031 Fax: 207-779-2632 |