| Day One | |
|
525 Main St South Portland ME 04106-5462 | |
| (207) 767-0991 | |
| (207) 767-0995 |
| Full Name | Day One |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 525 Main St, South Portland, Maine |
| Authorized Official Name and Position | Sherry A Tanguay (BILLING) |
| Authorized Official Contact | 2077670991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Day One 525 Main St. South Portland ME 04106 Ph: (207) 767-0991 | Day One 525 Main St South Portland ME 04106-5462 Ph: (207) 767-0991 |
| NPI Number | 1164484093 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 04/15/2015 |
| Medicare PECOS PAC ID | 9032249644 |
|---|---|
| Medicare Enrollment ID | O20100608000839 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164484093 | NPI | - | NPPES |
| 106120100 | Medicaid | ME | |
| 106120201 | Medicaid | ME | |
| 106120001 | Medicaid | ME | |
| 106120000 | Medicaid | ME | |
| 106120102 | Medicaid | ME | |
| 106120200 | Medicaid | ME | |
| 106120101 | Medicaid | ME |
| Provider Name | Timothy Dewitt Carnes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215917885 PECOS PAC ID: 7618944505 Enrollment ID: I20040910000952 |
| Provider Name | Michael A Eng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952395428 PECOS PAC ID: 7618919093 Enrollment ID: I20050525001014 |
| Provider Name | Deborah L Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366681306 PECOS PAC ID: 0143361535 Enrollment ID: I20100107000340 |
| Provider Name | Matthew J Thibault |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285835611 PECOS PAC ID: 4587851431 Enrollment ID: I20101206000172 |
| Provider Name | Jennifer L Robbins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245465160 PECOS PAC ID: 6608034970 Enrollment ID: I20120217000012 |
| Provider Name | Jill Ann Colton-spina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518237767 PECOS PAC ID: 2062672405 Enrollment ID: I20120322000410 |
| Provider Name | Jeffrey Larue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437490224 PECOS PAC ID: 6800033341 Enrollment ID: I20130501000057 |
| Provider Name | Carlann M Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063554947 PECOS PAC ID: 5496184301 Enrollment ID: I20200327002580 |
| Provider Name | Nick Dyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285012013 PECOS PAC ID: 0244697241 Enrollment ID: I20230607000699 |
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