| Medoptions Of Maine, Llc | |
|
45 Memorial Cir Augusta ME 04330-6400 | |
| (860) 788-6404 | |
| (860) 829-0495 |
| Full Name | Medoptions Of Maine, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 45 Memorial Cir, Augusta, Maine |
| Authorized Official Name and Position | Andrea Godfrey (CREDENTIALING & ENROLLMENT MANAGER) |
| Authorized Official Contact | 8603986441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medoptions Of Maine, Llc Po Box 1595 Middletown CT 06457-8095 Ph: (860) 788-6404 | Medoptions Of Maine, Llc 45 Memorial Cir Augusta ME 04330-6400 Ph: (860) 788-6404 |
| NPI Number | 1942743679 |
|---|---|
| Provider Enumeration Date | 11/29/2016 |
| Last Update Date | 05/05/2025 |
| Certification Date | 05/05/2025 |
| Medicare PECOS PAC ID | 8820374796 |
|---|---|
| Medicare Enrollment ID | O20170406002386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942743679 | NPI | - | NPPES |
| Provider Name | Cheryl A France |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134144215 PECOS PAC ID: 1557550175 Enrollment ID: I20170407000941 |
| Provider Name | Eden Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518087691 PECOS PAC ID: 0143591552 Enrollment ID: I20180219001810 |
| Provider Name | Tiney Elizabeth Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154331346 PECOS PAC ID: 3870680457 Enrollment ID: I20180423002496 |
| Provider Name | Susanna Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871008045 PECOS PAC ID: 8022376656 Enrollment ID: I20190131000985 |
| Provider Name | Erica L England |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265720890 PECOS PAC ID: 0446482756 Enrollment ID: I20190208001022 |
| Provider Name | Julie Pickholtz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790826907 PECOS PAC ID: 9234198540 Enrollment ID: I20200506001569 |
| Provider Name | Michelle Segerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134554132 PECOS PAC ID: 2769614882 Enrollment ID: I20220330000053 |
| Provider Name | Bryce Lefever |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205800620 PECOS PAC ID: 6204259625 Enrollment ID: I20220728001382 |
| Provider Name | Tarah Foley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962128686 PECOS PAC ID: 6800268293 Enrollment ID: I20230620001630 |
| Provider Name | Cristina Ruzila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568727550 PECOS PAC ID: 5799939039 Enrollment ID: I20231227000907 |
| Provider Name | Arlie Sterling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508260860 PECOS PAC ID: 1355730672 Enrollment ID: I20240109002313 |
| Provider Name | Tatum Siebert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528389566 PECOS PAC ID: 8527462886 Enrollment ID: I20240124000945 |
| Provider Name | Stephany Gyasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508369166 PECOS PAC ID: 1355603663 Enrollment ID: I20240320001760 |
| Provider Name | Emily Drury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659889319 PECOS PAC ID: 5991041295 Enrollment ID: I20241014004037 |
| Provider Name | Angela Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720466246 PECOS PAC ID: 9436426822 Enrollment ID: I20241226002774 |
| Provider Name | Pauline Delinois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275183931 PECOS PAC ID: 1658785142 Enrollment ID: I20250221002751 |
| Provider Name | Ijeoma Uchegbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336648625 PECOS PAC ID: 9638550155 Enrollment ID: I20250225000338 |
| Provider Name | Kathy Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811373913 PECOS PAC ID: 8022326172 Enrollment ID: I20250326001718 |
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Maine Behavioral Health Organization Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Oak St, Augusta, ME 04330 Phone: 207-458-4642 | |
Betsy Ann Ross House Of Hope Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Summer St, Augusta, ME 04330 Phone: 207-530-0466 | |
Suzanne White, Lcsw Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Oak St, Augusta, ME 04330 Phone: 207-649-4047 Fax: 207-622-6290 | |
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