| Maine Medical Partners Internal Medicine | |
|
155 Spurwink Ave Cape Elizabeth ME 04107-9604 | |
| (207) 767-2174 | |
| (207) 767-1384 |
| Full Name | Maine Medical Partners Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 155 Spurwink Ave, Cape Elizabeth, Maine |
| Authorized Official Name and Position | Stephen J Kasabian (PRESIDENT) |
| Authorized Official Contact | 2076612000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maine Medical Partners Internal Medicine 300 Soutborough Drive Suite 201 South Portland ME 04106 Ph: (207) 661-2000 | Maine Medical Partners Internal Medicine 155 Spurwink Ave Cape Elizabeth ME 04107-9604 Ph: (207) 767-2174 |
| NPI Number | 1598780447 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 12/13/2022 |
| Certification Date | 12/13/2022 |
| Medicare PECOS PAC ID | 9335043967 |
|---|---|
| Medicare Enrollment ID | O20040220000847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598780447 | NPI | - | NPPES |
| 119910009 | Medicaid | ME | |
| 119910029 | Medicaid | ME | |
| 30216636 | Medicaid | NH | |
| 119910007 | Medicaid | ME | |
| 119910006 | Medicaid | ME | |
| 30217105 | Medicaid | NH | |
| 119910008 | Medicaid | ME |
| Provider Name | Sheila Gerry Pinette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801938220 PECOS PAC ID: 4789596487 Enrollment ID: I20031103000194 |
| Provider Name | Alison M Samitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336242585 PECOS PAC ID: 0648184671 Enrollment ID: I20031114000206 |
| Provider Name | Joseph T Degrinney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538106679 PECOS PAC ID: 2567355852 Enrollment ID: I20040202000986 |
| Provider Name | Jeffrey J Aalberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669400222 PECOS PAC ID: 4981593860 Enrollment ID: I20040312000277 |
| Provider Name | Christina T Holt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912935339 PECOS PAC ID: 3779574579 Enrollment ID: I20040520000859 |
| Provider Name | Lisa M Belisle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629131685 PECOS PAC ID: 0446231591 Enrollment ID: I20040526000161 |
| Provider Name | Kristin Jhamb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598771297 PECOS PAC ID: 6305820143 Enrollment ID: I20040617000904 |
| Provider Name | Nicole Cherbuliez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932293578 PECOS PAC ID: 0840277455 Enrollment ID: I20040701000907 |
| Provider Name | Richard T Marino |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1285665828 PECOS PAC ID: 1557332665 Enrollment ID: I20040803000815 |
| Provider Name | Mark P Bouchard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023040656 PECOS PAC ID: 2567436264 Enrollment ID: I20040819001113 |
| Provider Name | Heidi R. Wierman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1699868158 PECOS PAC ID: 4587613005 Enrollment ID: I20050121000334 |
| Provider Name | Mary C Brandes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013908037 PECOS PAC ID: 5991746190 Enrollment ID: I20050518000588 |
| Provider Name | Christine M Freme |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225123524 PECOS PAC ID: 6507807674 Enrollment ID: I20050518001203 |
| Provider Name | Robert P Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750340972 PECOS PAC ID: 1153362942 Enrollment ID: I20050523000299 |
| Provider Name | Brian M Jumper |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619923307 PECOS PAC ID: 2769471788 Enrollment ID: I20050524000179 |
| Provider Name | Craig D Schneider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992808133 PECOS PAC ID: 4587606678 Enrollment ID: I20050531000263 |
| Provider Name | Eric Mukai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750310611 PECOS PAC ID: 4284677097 Enrollment ID: I20050602000841 |
| Provider Name | Laureen A Biczak |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073579074 PECOS PAC ID: 8729021068 Enrollment ID: I20050607000893 |
| Provider Name | William W Dexter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396739520 PECOS PAC ID: 2365485687 Enrollment ID: I20050608000198 |
| Provider Name | Debra A Rothenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245265776 PECOS PAC ID: 7810930963 Enrollment ID: I20050609000112 |
| Provider Name | Christopher A Wellins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053407601 PECOS PAC ID: 5991749897 Enrollment ID: I20050613000188 |
| Provider Name | Charles M Belisle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932144151 PECOS PAC ID: 5395789200 Enrollment ID: I20050613000306 |
| Provider Name | Katherine G Mullin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619924107 PECOS PAC ID: 6608810213 Enrollment ID: I20050615000073 |
| Provider Name | Kathleen A Mcgarr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962432203 PECOS PAC ID: 0648215376 Enrollment ID: I20050623000278 |
| Provider Name | Tina M Piraino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841221629 PECOS PAC ID: 8325083892 Enrollment ID: I20050624000459 |
| Provider Name | Scott M Chase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760584007 PECOS PAC ID: 1850336363 Enrollment ID: I20050624000816 |
| Provider Name | Peggy R Cyr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760584767 PECOS PAC ID: 0042255358 Enrollment ID: I20050627000640 |
| Provider Name | Paul B Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871673574 PECOS PAC ID: 9133165327 Enrollment ID: I20050628000812 |
| Provider Name | Marc P Jacquet |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740212364 PECOS PAC ID: 1658317847 Enrollment ID: I20050628000840 |
| Provider Name | Jonathan T Fanburg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275574311 PECOS PAC ID: 8729024922 Enrollment ID: I20050628000858 |
| Provider Name | Benedict J Farino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104912864 PECOS PAC ID: 1850337619 Enrollment ID: I20050701000082 |
| Provider Name | Thomas M Kinkead |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851347314 PECOS PAC ID: 7214926237 Enrollment ID: I20050706000708 |
| Provider Name | Alan E Kilby |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558456442 PECOS PAC ID: 0446237218 Enrollment ID: I20050713000726 |
| Provider Name | Patricia B Stogsdill |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326009259 PECOS PAC ID: 9830126952 Enrollment ID: I20050720000831 |
| Provider Name | John R Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861426272 PECOS PAC ID: 5991732018 Enrollment ID: I20050720000851 |
| Provider Name | Stephen R Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255369575 PECOS PAC ID: 9133156276 Enrollment ID: I20050720000972 |
| Provider Name | Thomas P Gearan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518073170 PECOS PAC ID: 8325012701 Enrollment ID: I20050729000509 |
| Provider Name | Moritz H Hansen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649226655 PECOS PAC ID: 4688663602 Enrollment ID: I20050803000912 |
| Provider Name | William Talpey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518928647 PECOS PAC ID: 6709815988 Enrollment ID: I20050808000977 |
| Provider Name | Rebecca B Hemphill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245268903 PECOS PAC ID: 9032140140 Enrollment ID: I20050829000748 |
| Provider Name | Lisa T Beaule |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518913433 PECOS PAC ID: 3173512100 Enrollment ID: I20050907000753 |
| Provider Name | Tevis H Gearan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205942877 PECOS PAC ID: 8224020441 Enrollment ID: I20050928001155 |
| Provider Name | Donald J Medd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902810294 PECOS PAC ID: 3870528136 Enrollment ID: I20051005000806 |
| Provider Name | Dale T Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467574772 PECOS PAC ID: 3971524448 Enrollment ID: I20051212000746 |
| Provider Name | Catherine A Clement |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437139698 PECOS PAC ID: 9133136153 Enrollment ID: I20060316000332 |
| Provider Name | Leah V Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013950153 PECOS PAC ID: 2365450822 Enrollment ID: I20060327000183 |
| Provider Name | Nicole L Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467560540 PECOS PAC ID: 0244257905 Enrollment ID: I20060927000300 |
| Provider Name | Kristen B Silvia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538103478 PECOS PAC ID: 3779580139 Enrollment ID: I20061026000445 |
| Provider Name | Melanie P Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700953015 PECOS PAC ID: 1456452234 Enrollment ID: I20070724000076 |
| Provider Name | Tiffany P Segre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437227378 PECOS PAC ID: 6002908324 Enrollment ID: I20070816000356 |
| Provider Name | Brett Loffredo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295809911 PECOS PAC ID: 0547352866 Enrollment ID: I20070816000362 |
| Provider Name | William R Wadland |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1154499002 PECOS PAC ID: 0749372571 Enrollment ID: I20070823000753 |
| Provider Name | Heather M Emerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528152956 PECOS PAC ID: 2466475595 Enrollment ID: I20070906000149 |
| Provider Name | David A Polisner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013080852 PECOS PAC ID: 1557362191 Enrollment ID: I20071003000035 |
| Provider Name | Emily W Demetriou |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558439414 PECOS PAC ID: 4587751995 Enrollment ID: I20071101000412 |
| Provider Name | Thomas M Morrione |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1841367943 PECOS PAC ID: 4385727692 Enrollment ID: I20080211000125 |
| Provider Name | Emily B Cashman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447448436 PECOS PAC ID: 5890878748 Enrollment ID: I20080215000036 |
| Provider Name | Jill M Kerekes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992728323 PECOS PAC ID: 6507897907 Enrollment ID: I20080225000138 |
| Provider Name | Maura A Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710167556 PECOS PAC ID: 4688759657 Enrollment ID: I20080314000396 |
| Provider Name | Aura Russell-bedder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033246715 PECOS PAC ID: 8921186156 Enrollment ID: I20080429000038 |
| Provider Name | Peter G Amann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639107840 PECOS PAC ID: 5698848596 Enrollment ID: I20080725000427 |
| Provider Name | Theodore R Wissink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124193503 PECOS PAC ID: 5890869770 Enrollment ID: I20080812000033 |
| Provider Name | Clifford B Rubin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942375225 PECOS PAC ID: 4981779618 Enrollment ID: I20080814000763 |
| Provider Name | Robert A Sturges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902992142 PECOS PAC ID: 1355421082 Enrollment ID: I20080911000554 |
| Provider Name | Oliver T Fremont |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730127036 PECOS PAC ID: 0749358596 Enrollment ID: I20081006000681 |
| Provider Name | Stacy L Diperna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114103215 PECOS PAC ID: 0840358271 Enrollment ID: I20081029000121 |
| Provider Name | Allyson S Howe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679662563 PECOS PAC ID: 3971662057 Enrollment ID: I20081104000417 |
| Provider Name | Lori-ann Gato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356454573 PECOS PAC ID: 3971663063 Enrollment ID: I20090107000233 |
| Provider Name | Lynn Marie Huck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487803144 PECOS PAC ID: 4688724461 Enrollment ID: I20090617000169 |
| Provider Name | Fred E Emerson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487722278 PECOS PAC ID: 7113079799 Enrollment ID: I20090713000107 |
| Provider Name | Elizabeth B Eisenhardt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194893982 PECOS PAC ID: 9830244672 Enrollment ID: I20090901000108 |
| Provider Name | Sarah A M Hallen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033221817 PECOS PAC ID: 2860548849 Enrollment ID: I20090916000162 |
| Provider Name | Elizabeth H Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386750214 PECOS PAC ID: 9133165517 Enrollment ID: I20091110000305 |
| Provider Name | Amy N Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063745735 PECOS PAC ID: 0143361907 Enrollment ID: I20091231000120 |
| Provider Name | Gail M Libby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659438331 PECOS PAC ID: 5991840894 Enrollment ID: I20100303000559 |
| Provider Name | Carly S Mcateer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699974311 PECOS PAC ID: 3971796228 Enrollment ID: I20101020000037 |
| Provider Name | Robert S Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821124025 PECOS PAC ID: 2365636735 Enrollment ID: I20101029000362 |
| Provider Name | Donna C Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194897801 PECOS PAC ID: 1557541836 Enrollment ID: I20110203000194 |
| Provider Name | Eric S Haskell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770742439 PECOS PAC ID: 0648449769 Enrollment ID: I20110808000058 |
| Provider Name | Ellis A Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215196985 PECOS PAC ID: 7113196064 Enrollment ID: I20110809000905 |
| Provider Name | Graham T Verlee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790986495 PECOS PAC ID: 4981873718 Enrollment ID: I20110811000230 |
| Provider Name | Matthew Hayn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891941779 PECOS PAC ID: 6406993872 Enrollment ID: I20110811000252 |
| Provider Name | Leyla Azis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487871414 PECOS PAC ID: 0749450260 Enrollment ID: I20110818000828 |
| Provider Name | Emily V Wood |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093884710 PECOS PAC ID: 6507037470 Enrollment ID: I20110926000613 |
| Provider Name | Kelly W Ernst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558695783 PECOS PAC ID: 8527239342 Enrollment ID: I20110927000303 |
| Provider Name | Nicoleta Toma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881823391 PECOS PAC ID: 2860640646 Enrollment ID: I20120920000127 |
| Provider Name | Rachael Y Blake |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1831357839 PECOS PAC ID: 7113177429 Enrollment ID: I20121023000324 |
| Provider Name | Julia M Redding |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1932367034 PECOS PAC ID: 6406007293 Enrollment ID: I20121102000234 |
| Provider Name | Stacey R Farrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144575952 PECOS PAC ID: 9032360599 Enrollment ID: I20121108000614 |
| Provider Name | Kristen A Scopaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114171857 PECOS PAC ID: 6305097825 Enrollment ID: I20121109000505 |
| Provider Name | Kelly L Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699023432 PECOS PAC ID: 2062663164 Enrollment ID: I20121120000243 |
| Provider Name | Chelsea C Ginn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689923104 PECOS PAC ID: 8224280466 Enrollment ID: I20121214000193 |
| Provider Name | Amy E Vincent Cross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497075592 PECOS PAC ID: 6406000587 Enrollment ID: I20130128000197 |
| Provider Name | Elizabeth A Frutiger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073596672 PECOS PAC ID: 1557397932 Enrollment ID: I20130808000127 |
| Provider Name | Ann K Magner |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1205060225 PECOS PAC ID: 5395988505 Enrollment ID: I20130906000431 |
| Provider Name | Maureen M Sauvage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104187988 PECOS PAC ID: 6406090513 Enrollment ID: I20130911000388 |
| Provider Name | Christina M Dematteo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033438254 PECOS PAC ID: 6204070279 Enrollment ID: I20130912000300 |
| Provider Name | Karen E Dmytrasz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548494552 PECOS PAC ID: 4183868003 Enrollment ID: I20130916000532 |
| Provider Name | Jordan M Kurta |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649436049 PECOS PAC ID: 5395981070 Enrollment ID: I20130923000469 |
| Provider Name | Angela M Jagoutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609209766 PECOS PAC ID: 0345475893 Enrollment ID: I20131108001395 |
| Provider Name | Jennifer K Deane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265865323 PECOS PAC ID: 7517195852 Enrollment ID: I20140114000768 |
| Provider Name | John J Lowery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770879520 PECOS PAC ID: 5698905032 Enrollment ID: I20140304000036 |
| Provider Name | Tiffany L Townsend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497840847 PECOS PAC ID: 8729035852 Enrollment ID: I20140306000520 |
| Provider Name | Jessie S Nault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740512813 PECOS PAC ID: 9133350432 Enrollment ID: I20140331001216 |
| Provider Name | Caitlin E Willard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912227604 PECOS PAC ID: 0648404335 Enrollment ID: I20140402001990 |
| Provider Name | Chloe G Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609298447 PECOS PAC ID: 2860615895 Enrollment ID: I20140520002677 |
| Provider Name | Benjamin Paul Hagopian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184919193 PECOS PAC ID: 0143454959 Enrollment ID: I20140710000995 |
| Provider Name | David J Chalmers |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669665196 PECOS PAC ID: 9931342177 Enrollment ID: I20140711000244 |
| Provider Name | Katelyn Mp Lovely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922383330 PECOS PAC ID: 0446405815 Enrollment ID: I20140818001851 |
| Provider Name | Cindy L Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932509692 PECOS PAC ID: 8123340734 Enrollment ID: I20141210002085 |
| Provider Name | Lori Axelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578984142 PECOS PAC ID: 0042539090 Enrollment ID: I20150424001750 |
| Provider Name | Ingrid E Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952696973 PECOS PAC ID: 4981838653 Enrollment ID: I20150430000497 |
| Provider Name | Ellen H Theodores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801197827 PECOS PAC ID: 5698096576 Enrollment ID: I20150603002417 |
| Provider Name | Nicole M Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275931388 PECOS PAC ID: 3274846431 Enrollment ID: I20150716001644 |
| Provider Name | Anastasia R Norman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073833703 PECOS PAC ID: 8022242791 Enrollment ID: I20150717001944 |
| Provider Name | Caitlin Costigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740662832 PECOS PAC ID: 4981918653 Enrollment ID: I20150810000562 |
| Provider Name | Kohar Dersimonian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538334594 PECOS PAC ID: 1951455625 Enrollment ID: I20150810002080 |
| Provider Name | Kinna Thakarar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396905048 PECOS PAC ID: 2860638442 Enrollment ID: I20150817000237 |
| Provider Name | Jonathan C Fellers |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1508091281 PECOS PAC ID: 6608021332 Enrollment ID: I20150831000427 |
| Provider Name | Robert A Fulton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023375953 PECOS PAC ID: 8820243322 Enrollment ID: I20150903000645 |
| Provider Name | Sarah N Nix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386026698 PECOS PAC ID: 1052628427 Enrollment ID: I20150917000209 |
| Provider Name | Marshall R Chamberlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003044488 PECOS PAC ID: 8426206863 Enrollment ID: I20151022001228 |
| Provider Name | Kathryn M Brouillette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881980332 PECOS PAC ID: 0143456244 Enrollment ID: I20151203002044 |
| Provider Name | Elizabeth Sutcliffe Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558733899 PECOS PAC ID: 6406159144 Enrollment ID: I20160129001111 |
| Provider Name | Mikayla K Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417318742 PECOS PAC ID: 7113218702 Enrollment ID: I20160629001975 |
| Provider Name | Annabelle Rae D Norwood |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1619256930 PECOS PAC ID: 8224356308 Enrollment ID: I20160712002427 |
| Provider Name | Matthew S Buttarazzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447696422 PECOS PAC ID: 8628210937 Enrollment ID: I20160721000613 |
| Provider Name | Lesley B Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215373212 PECOS PAC ID: 5991947376 Enrollment ID: I20160827000103 |
| Provider Name | Christina A Kapala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386080182 PECOS PAC ID: 9234371618 Enrollment ID: I20160827000172 |
| Provider Name | Jesse Sammon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962639062 PECOS PAC ID: 5395977201 Enrollment ID: I20160919001550 |
| Provider Name | Eliza R Bullis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518257682 PECOS PAC ID: 0244544922 Enrollment ID: I20160921000492 |
| Provider Name | Johann P Ingimarsson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083878169 PECOS PAC ID: 2264743814 Enrollment ID: I20161019001611 |
| Provider Name | Andrea Lynn Eng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881046845 PECOS PAC ID: 3274811013 Enrollment ID: I20161028000880 |
| Provider Name | Brigitte Salembier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457797235 PECOS PAC ID: 0042452211 Enrollment ID: I20161102002011 |
| Provider Name | Courtney A Myles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639622756 PECOS PAC ID: 9830478643 Enrollment ID: I20161118001774 |
| Provider Name | Kathleen E Brennan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922444900 PECOS PAC ID: 4284876590 Enrollment ID: I20161121001155 |
| Provider Name | Carol L Squires |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942546254 PECOS PAC ID: 9133401102 Enrollment ID: I20170127000141 |
| Provider Name | Emily H Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962946681 PECOS PAC ID: 3476836396 Enrollment ID: I20170220000500 |
| Provider Name | Maria R Noyes Paylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033518857 PECOS PAC ID: 0446534309 Enrollment ID: I20170222000092 |
| Provider Name | Alina Silver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730159542 PECOS PAC ID: 9830163450 Enrollment ID: I20170310000762 |
| Provider Name | Erica B Lafferty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164818308 PECOS PAC ID: 2365750056 Enrollment ID: I20170329002301 |
| Provider Name | Elizabeth Kasny Sundborg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750835377 PECOS PAC ID: 0446548424 Enrollment ID: I20170405001582 |
| Provider Name | Michelle L Ramirez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083876296 PECOS PAC ID: 8628207016 Enrollment ID: I20170508000234 |
| Provider Name | John L Daggett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881006831 PECOS PAC ID: 9739486259 Enrollment ID: I20170508001244 |
| Provider Name | Caleb Schmid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164834354 PECOS PAC ID: 8729204698 Enrollment ID: I20170621001981 |
| Provider Name | Nicholas D Dupuis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104238567 PECOS PAC ID: 1658649173 Enrollment ID: I20170623002180 |
| Provider Name | Evan M Barnathan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558773994 PECOS PAC ID: 9537385570 Enrollment ID: I20170818000300 |
| Provider Name | Andreas Pm Thyssen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215373279 PECOS PAC ID: 7113169376 Enrollment ID: I20170829000592 |
| Provider Name | Emily L Carter |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1790122927 PECOS PAC ID: 6002058211 Enrollment ID: I20170829001119 |
| Provider Name | Jared J Cassin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780094243 PECOS PAC ID: 6002180965 Enrollment ID: I20170916000540 |
| Provider Name | Jillian J Dur |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1942647862 PECOS PAC ID: 6608091541 Enrollment ID: I20171003007639 |
| Provider Name | Ashley E Leamon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992245567 PECOS PAC ID: 3173809092 Enrollment ID: I20171004003597 |
| Provider Name | Caitlin G Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144742859 PECOS PAC ID: 2567728827 Enrollment ID: I20171102002273 |
| Provider Name | Jennifer Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306273917 PECOS PAC ID: 6901164243 Enrollment ID: I20171214002658 |
| Provider Name | Hope M Hussey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992219505 PECOS PAC ID: 4183984263 Enrollment ID: I20180209001772 |
| Provider Name | Elizabeth R Bacon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508259532 PECOS PAC ID: 6800158031 Enrollment ID: I20180327002274 |
| Provider Name | Kailee O D'angelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073029849 PECOS PAC ID: 2365705365 Enrollment ID: I20180404000316 |
| Provider Name | Ryan Nemon Best |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699169581 PECOS PAC ID: 9830403906 Enrollment ID: I20180723002582 |
| Provider Name | Monica Thim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093133993 PECOS PAC ID: 7810115292 Enrollment ID: I20180829001622 |
| Provider Name | Zhyldyz T Kabaeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730507336 PECOS PAC ID: 0941426092 Enrollment ID: I20180829002689 |
| Provider Name | Michelle G Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750778809 PECOS PAC ID: 2860709631 Enrollment ID: I20180913001616 |
| Provider Name | Heidi Walls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902291446 PECOS PAC ID: 1153635198 Enrollment ID: I20181029001587 |
| Provider Name | Amanda Ra Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548654544 PECOS PAC ID: 1557675584 Enrollment ID: I20190123001107 |
| Provider Name | Hadjh T Ahrns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568606713 PECOS PAC ID: 3779726369 Enrollment ID: I20190314000956 |
| Provider Name | Gina N Dasilva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174039325 PECOS PAC ID: 5799026233 Enrollment ID: I20190409003088 |
| Provider Name | Nathalie K Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881090629 PECOS PAC ID: 8527381789 Enrollment ID: I20190425002527 |
| Provider Name | Pamela Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225129463 PECOS PAC ID: 1355245945 Enrollment ID: I20190507001147 |
| Provider Name | Marita K Fichera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629426879 PECOS PAC ID: 6709168339 Enrollment ID: I20190507001831 |
| Provider Name | Alex D Feinberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245595255 PECOS PAC ID: 1658607965 Enrollment ID: I20190724002765 |
| Provider Name | Kelly Pizzo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376986513 PECOS PAC ID: 8628207461 Enrollment ID: I20190730000385 |
| Provider Name | Stephen T Ryan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205198686 PECOS PAC ID: 9234409038 Enrollment ID: I20190801000107 |
| Provider Name | Sophie L Woolston |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659699742 PECOS PAC ID: 8022338870 Enrollment ID: I20190911002528 |
| Provider Name | Edward F Pilkington |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164862074 PECOS PAC ID: 4183850993 Enrollment ID: I20190916001031 |
| Provider Name | Sanchita Bose |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578806832 PECOS PAC ID: 7113159559 Enrollment ID: I20191010003088 |
| Provider Name | Kathryn E Hassett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760038400 PECOS PAC ID: 5193056588 Enrollment ID: I20191016002322 |
| Provider Name | Devan Cole Lucier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811376072 PECOS PAC ID: 9032421953 Enrollment ID: I20191018002649 |
| Provider Name | Darlene E Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518353945 PECOS PAC ID: 4284948704 Enrollment ID: I20191021000709 |
| Provider Name | Abby C Vopal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407401474 PECOS PAC ID: 7719219849 Enrollment ID: I20191023000261 |
| Provider Name | Marc D Kimball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467815274 PECOS PAC ID: 6608162953 Enrollment ID: I20191108001186 |
| Provider Name | Natalia Tonseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689217903 PECOS PAC ID: 8729413265 Enrollment ID: I20200110001658 |
| Provider Name | Sarah M Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427691765 PECOS PAC ID: 7618302159 Enrollment ID: I20200110001737 |
| Provider Name | Thomas Albert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568875565 PECOS PAC ID: 3173827953 Enrollment ID: I20200504000501 |
| Provider Name | Dorothy E Zirkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497309652 PECOS PAC ID: 2961833918 Enrollment ID: I20200507002255 |
| Provider Name | Carla M Canepa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336482538 PECOS PAC ID: 6507153988 Enrollment ID: I20200529001047 |
| Provider Name | Maria A. Ordonez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053577197 PECOS PAC ID: 9335296359 Enrollment ID: I20200721002065 |
| Provider Name | Kellee F Gorgone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588289961 PECOS PAC ID: 8628495710 Enrollment ID: I20200903002556 |
| Provider Name | Erin M Byrt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497286710 PECOS PAC ID: 6204109994 Enrollment ID: I20200911000311 |
| Provider Name | Kathryn R Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407473713 PECOS PAC ID: 3577981042 Enrollment ID: I20200915002551 |
| Provider Name | Lauren H Buoncristiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740896901 PECOS PAC ID: 8820401391 Enrollment ID: I20201231000620 |
| Provider Name | Kathryn S Ndzana |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1861787897 PECOS PAC ID: 8921232711 Enrollment ID: I20210128000999 |
| Provider Name | Emily Lavoie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407458250 PECOS PAC ID: 4082029624 Enrollment ID: I20210212001570 |
| Provider Name | Erica E Hidu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386176345 PECOS PAC ID: 4183997893 Enrollment ID: I20210610002347 |
| Provider Name | Nellie D Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619472867 PECOS PAC ID: 2961803242 Enrollment ID: I20210623003760 |
| Provider Name | Monica P Schoenbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922685403 PECOS PAC ID: 8628479458 Enrollment ID: I20210630001097 |
| Provider Name | David A Lapham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548765753 PECOS PAC ID: 1951703198 Enrollment ID: I20210712001471 |
| Provider Name | Zoe Wolf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265941918 PECOS PAC ID: 5991107989 Enrollment ID: I20210713004026 |
| Provider Name | Matthew Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639674591 PECOS PAC ID: 2567865504 Enrollment ID: I20210728001310 |
| Provider Name | Michael P Tozier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952836363 PECOS PAC ID: 9133490162 Enrollment ID: I20210804001073 |
| Provider Name | Dylan S Atchley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427547470 PECOS PAC ID: 7012256647 Enrollment ID: I20210817000707 |
| Provider Name | Christina D Harvell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790450120 PECOS PAC ID: 4981000304 Enrollment ID: I20210910001202 |
| Provider Name | Anna M Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376116053 PECOS PAC ID: 6709283534 Enrollment ID: I20210922000367 |
| Provider Name | Nathaniel Johnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578925715 PECOS PAC ID: 8426342205 Enrollment ID: I20210922001089 |
| Provider Name | Stephen Arthur Rawlings |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861888984 PECOS PAC ID: 7719381581 Enrollment ID: I20211201000395 |
| Provider Name | Daniel Stadler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467479022 PECOS PAC ID: 5991791766 Enrollment ID: I20220104000884 |
| Provider Name | Catelin E Geiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568116804 PECOS PAC ID: 2365836459 Enrollment ID: I20220307002186 |
| Provider Name | Kelly A Waldroup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699436758 PECOS PAC ID: 2163809690 Enrollment ID: I20220521000309 |
| Provider Name | Lindsay C Corse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639438476 PECOS PAC ID: 4385876614 Enrollment ID: I20220618000049 |
| Provider Name | Anne Kornkven |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427553353 PECOS PAC ID: 8224418868 Enrollment ID: I20220629001803 |
| Provider Name | Arianna Cortesi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689178592 PECOS PAC ID: 8729469853 Enrollment ID: I20220720001308 |
| Provider Name | Matthew D Grunwald |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689061954 PECOS PAC ID: 5395080360 Enrollment ID: I20220727000155 |
| Provider Name | Elizabeth Mulcahy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164811709 PECOS PAC ID: 9133445745 Enrollment ID: I20220811000696 |
| Provider Name | David W Sobel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881011872 PECOS PAC ID: 4688976285 Enrollment ID: I20220830003540 |
| Provider Name | Joseph Benjamin M Rote |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407315302 PECOS PAC ID: 0244569333 Enrollment ID: I20220831001582 |
| Provider Name | Jeffrey Matthew Howard |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700270758 PECOS PAC ID: 6002121498 Enrollment ID: I20220901001095 |
| Provider Name | Katherine P Sharp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649702119 PECOS PAC ID: 6406129147 Enrollment ID: I20220914003146 |
| Provider Name | Kristen J Bartlett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255892303 PECOS PAC ID: 7113255340 Enrollment ID: I20220916001531 |
| Provider Name | Lily C Wang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487979878 PECOS PAC ID: 6901142686 Enrollment ID: I20221010000533 |
| Provider Name | Rachel Anne Sluder |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1508352410 PECOS PAC ID: 8820407877 Enrollment ID: I20221025000771 |
| Provider Name | Daniel J Diekema |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104801489 PECOS PAC ID: 0840332805 Enrollment ID: I20221028002215 |
| Provider Name | Erika Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992421226 PECOS PAC ID: 6002285046 Enrollment ID: I20221213002732 |
| Provider Name | Nicole Rendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588399752 PECOS PAC ID: 3577934694 Enrollment ID: I20230126003071 |
| Provider Name | Lenore S Chesnutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619527751 PECOS PAC ID: 9830556448 Enrollment ID: I20230613000390 |
| Provider Name | Christine R Mahoney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851551097 PECOS PAC ID: 8426220708 Enrollment ID: I20230703002625 |
| Provider Name | Ryan Close |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831451442 PECOS PAC ID: 0446540686 Enrollment ID: I20230724001565 |
| Provider Name | Jenna Crutsinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700435807 PECOS PAC ID: 1456785609 Enrollment ID: I20230724002773 |
| Provider Name | Noam D Fine |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659869394 PECOS PAC ID: 5799035192 Enrollment ID: I20230828001371 |
| Provider Name | Michael Wood Delucia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821626557 PECOS PAC ID: 4284058264 Enrollment ID: I20230919001776 |
| Provider Name | Andrew G Heppe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063049377 PECOS PAC ID: 0143644112 Enrollment ID: I20230919002932 |
| Provider Name | Martin W Moehlen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104006279 PECOS PAC ID: 0941473979 Enrollment ID: I20230920001746 |
| Provider Name | Elizabeth Lehleitner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437745387 PECOS PAC ID: 1658789706 Enrollment ID: I20231025001857 |
| Provider Name | Christina F Yen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154718922 PECOS PAC ID: 7113204074 Enrollment ID: I20231127002518 |
| Provider Name | Hannah Folger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407637564 PECOS PAC ID: 7416305511 Enrollment ID: I20231130000734 |
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East Coast Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 553 Shore Rd Ste 2, Cape Elizabeth, ME 04107 Phone: 207-400-5876 | |
Kerry Bennett, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 541 Ocean House Rd, Cape Elizabeth, ME 04107 Phone: 206-930-6435 | |
William H. Leschey, Phd, P.a. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 107 Delano Park, Cape Elizabeth, ME 04107 Phone: 207-650-9424 | |
Kathryn Mitchell Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 40 Fowler Rd, Cape Elizabeth, ME 04107 Phone: 603-660-2369 | |
Julia L Orr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Cheverus Rd, Cape Elizabeth, ME 04107 Phone: 207-329-6156 |