| Mount Desert Island Hospital | |
|
10 Wayman Ln Bar Harbor ME 04609-1625 | |
| (207) 288-5081 | |
| (207) 288-8620 |
| Full Name | Mount Desert Island Hospital |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 10 Wayman Ln, Bar Harbor, Maine |
| Authorized Official Name and Position | Jennifer Abbott (QUALITY & COMPLIANCE SPECIALIST) |
| Authorized Official Contact | 2072885082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Desert Island Hospital Po Box 8 Bar Harbor ME 04609-0008 Ph: (207) 288-5081 | Mount Desert Island Hospital 10 Wayman Ln Bar Harbor ME 04609-1625 Ph: (207) 288-5081 |
| NPI Number | 1790764512 |
|---|---|
| Provider Enumeration Date | 01/11/2006 |
| Last Update Date | 04/09/2024 |
| Certification Date | 04/09/2024 |
| Medicare PECOS PAC ID | 0941250963 |
|---|---|
| Medicare Enrollment ID | O20050127000611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790764512 | NPI | - | NPPES |
| Provider Name | Peter R Goebel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508966441 PECOS PAC ID: 2961476395 Enrollment ID: I20040823000503 |
| Provider Name | Kathleen Mulrenin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124000351 PECOS PAC ID: 8123097045 Enrollment ID: I20040928000716 |
| Provider Name | Charles Crans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417951914 PECOS PAC ID: 1456312180 Enrollment ID: I20041118000992 |
| Provider Name | Barbara F Logue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730275116 PECOS PAC ID: 4981652187 Enrollment ID: I20050104000984 |
| Provider Name | Angela S Delvecchio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871689257 PECOS PAC ID: 0042269052 Enrollment ID: I20050118000096 |
| Provider Name | Bartholomew R Clayton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417998949 PECOS PAC ID: 4981659877 Enrollment ID: I20050314000640 |
| Provider Name | Robert D Weiss |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538150503 PECOS PAC ID: 0547209314 Enrollment ID: I20050502000080 |
| Provider Name | Charles E Hendricks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174551394 PECOS PAC ID: 7214979954 Enrollment ID: I20050524000308 |
| Provider Name | Julian P Kuffler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619947785 PECOS PAC ID: 0143262782 Enrollment ID: I20050524001216 |
| Provider Name | Rachael F Sharp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265528301 PECOS PAC ID: 0749224731 Enrollment ID: I20050610000271 |
| Provider Name | Patricia L Wyshak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043254758 PECOS PAC ID: 4789628496 Enrollment ID: I20050614000681 |
| Provider Name | Peter J Ossanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942249842 PECOS PAC ID: 1052356425 Enrollment ID: I20050627000214 |
| Provider Name | Mark O Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982683496 PECOS PAC ID: 0244275584 Enrollment ID: I20050627000914 |
| Provider Name | Michael J Mason |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598793317 PECOS PAC ID: 4880639038 Enrollment ID: I20050628000391 |
| Provider Name | Lisa O Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043348527 PECOS PAC ID: 8628014735 Enrollment ID: I20050629000415 |
| Provider Name | Elizabeth Laverack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053391300 PECOS PAC ID: 0143266643 Enrollment ID: I20050706000978 |
| Provider Name | John M Benson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154308948 PECOS PAC ID: 0547296287 Enrollment ID: I20050713000800 |
| Provider Name | Audrey Merrill Garrett |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467483859 PECOS PAC ID: 5890723449 Enrollment ID: I20050803000996 |
| Provider Name | Kara A Dwight |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689674947 PECOS PAC ID: 7618906892 Enrollment ID: I20050808000979 |
| Provider Name | Petr Smejkal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922028976 PECOS PAC ID: 0749202596 Enrollment ID: I20051221000581 |
| Provider Name | Julius R Krevans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689627275 PECOS PAC ID: 6800809211 Enrollment ID: I20060731000437 |
| Provider Name | Diehl M Snyder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568433928 PECOS PAC ID: 9739085705 Enrollment ID: I20060816000381 |
| Provider Name | Casey S Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164536397 PECOS PAC ID: 0143226522 Enrollment ID: I20061006000344 |
| Provider Name | Lynne M Assaf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740307313 PECOS PAC ID: 0345347621 Enrollment ID: I20070522000054 |
| Provider Name | Keith W Fleming |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417063355 PECOS PAC ID: 6709986284 Enrollment ID: I20070712000684 |
| Provider Name | Michelle C Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346216108 PECOS PAC ID: 1759477417 Enrollment ID: I20071011000405 |
| Provider Name | Surapaneni R Ramanadha Rao |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417958851 PECOS PAC ID: 0941390975 Enrollment ID: I20071214000189 |
| Provider Name | Mark A Kandutsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194795799 PECOS PAC ID: 8123190766 Enrollment ID: I20080626000457 |
| Provider Name | Sigrid E Berg |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972665834 PECOS PAC ID: 2062580285 Enrollment ID: I20081001000283 |
| Provider Name | Rosamond Kreilkamp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720289564 PECOS PAC ID: 7113085002 Enrollment ID: I20081021000807 |
| Provider Name | Suzanne Blythe Norgang |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255306874 PECOS PAC ID: 8022025675 Enrollment ID: I20081106000423 |
| Provider Name | Philip L Brooks |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942254818 PECOS PAC ID: 7416019930 Enrollment ID: I20081217000558 |
| Provider Name | Katherine L Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700018645 PECOS PAC ID: 6608912225 Enrollment ID: I20091012000269 |
| Provider Name | Jessie K Tilden |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629033790 PECOS PAC ID: 0749329225 Enrollment ID: I20091121000102 |
| Provider Name | Stephen A Koscherak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144290941 PECOS PAC ID: 8527019355 Enrollment ID: I20091124000189 |
| Provider Name | Stuart L. Davidson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205856341 PECOS PAC ID: 5799685368 Enrollment ID: I20100408000322 |
| Provider Name | Jens Rueter |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1891995189 PECOS PAC ID: 9133311400 Enrollment ID: I20101005000375 |
| Provider Name | Linda T Crowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679885263 PECOS PAC ID: 5496948242 Enrollment ID: I20101025000941 |
| Provider Name | Zachary J Trzaska |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053510768 PECOS PAC ID: 2466646609 Enrollment ID: I20101101001190 |
| Provider Name | Monica Coffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902904808 PECOS PAC ID: 8729051628 Enrollment ID: I20110316000862 |
| Provider Name | Matthew R Daul |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487896189 PECOS PAC ID: 9335390780 Enrollment ID: I20121112000103 |
| Provider Name | Tanya Hanke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760644082 PECOS PAC ID: 3173779139 Enrollment ID: I20121219000145 |
| Provider Name | Peter H Witham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417043639 PECOS PAC ID: 1850464801 Enrollment ID: I20131010001226 |
| Provider Name | Tiana Larson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710232236 PECOS PAC ID: 1254566805 Enrollment ID: I20140703001293 |
| Provider Name | Nathan G Donaldson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831314855 PECOS PAC ID: 6002986676 Enrollment ID: I20141010001088 |
| Provider Name | Joseph W Dougherty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790911550 PECOS PAC ID: 3779756457 Enrollment ID: I20150612001084 |
| Provider Name | Linda S Napier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023430865 PECOS PAC ID: 4688971807 Enrollment ID: I20160401000675 |
| Provider Name | John L Urbanek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528498557 PECOS PAC ID: 8628363215 Enrollment ID: I20160822001121 |
| Provider Name | Thomas I Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225365406 PECOS PAC ID: 5193866572 Enrollment ID: I20170220002274 |
| Provider Name | Vanessa C Little |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720191372 PECOS PAC ID: 2860772605 Enrollment ID: I20170412002061 |
| Provider Name | David L Sugerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851352090 PECOS PAC ID: 5294629754 Enrollment ID: I20170705001148 |
| Provider Name | Grace L Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154735967 PECOS PAC ID: 2567736846 Enrollment ID: I20170926000834 |
| Provider Name | Sveva V Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467895854 PECOS PAC ID: 1658590187 Enrollment ID: I20171003007070 |
| Provider Name | Rodney T Ono |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477626802 PECOS PAC ID: 3779775010 Enrollment ID: I20171103000868 |
| Provider Name | Katherine L Gassman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851653620 PECOS PAC ID: 0941592414 Enrollment ID: I20171205003558 |
| Provider Name | Laura M Marlowe-flanagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790037620 PECOS PAC ID: 7810149853 Enrollment ID: I20180518001438 |
| Provider Name | Robert T Baril |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922190214 PECOS PAC ID: 7416252127 Enrollment ID: I20180702000376 |
| Provider Name | Bettina Irmgart Herrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881171106 PECOS PAC ID: 8628328929 Enrollment ID: I20180907000695 |
| Provider Name | Andres Abreu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871939710 PECOS PAC ID: 6608018163 Enrollment ID: I20180920002667 |
| Provider Name | Paula K Lavigne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073662839 PECOS PAC ID: 4284738519 Enrollment ID: I20181026000693 |
| Provider Name | Nicole R G Randall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023592771 PECOS PAC ID: 7618220328 Enrollment ID: I20181026000940 |
| Provider Name | Stephanie E Mccullough |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942562384 PECOS PAC ID: 2062642903 Enrollment ID: I20181106000712 |
| Provider Name | Alisa M Vroman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689804205 PECOS PAC ID: 0244385961 Enrollment ID: I20190121000643 |
| Provider Name | Billy W Mahaney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457342966 PECOS PAC ID: 4789816331 Enrollment ID: I20190605000605 |
| Provider Name | Jane A Ogembo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1891845467 PECOS PAC ID: 1658650148 Enrollment ID: I20191203000958 |
| Provider Name | Rebekah Joy Villarreal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831585116 PECOS PAC ID: 9133418734 Enrollment ID: I20191203002321 |
| Provider Name | Gabriel Johnson Plourde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235525759 PECOS PAC ID: 9830406966 Enrollment ID: I20191205002086 |
| Provider Name | Damian M Flowers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629275599 PECOS PAC ID: 5799810453 Enrollment ID: I20200625001781 |
| Provider Name | George Shafranov |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972542322 PECOS PAC ID: 8426015264 Enrollment ID: I20200724000515 |
| Provider Name | Tyson D Hale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205809357 PECOS PAC ID: 0345222667 Enrollment ID: I20200724001051 |
| Provider Name | Melissa K Lower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891351789 PECOS PAC ID: 5193054112 Enrollment ID: I20200810002734 |
| Provider Name | Audrey Newell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891765327 PECOS PAC ID: 5698729648 Enrollment ID: I20201006002470 |
| Provider Name | Taylor L Trombley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215559240 PECOS PAC ID: 0941620942 Enrollment ID: I20201013001800 |
| Provider Name | Johannes Jack Bartley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194217281 PECOS PAC ID: 5799196697 Enrollment ID: I20201125001650 |
| Provider Name | William Byer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285921403 PECOS PAC ID: 3274702089 Enrollment ID: I20201218000107 |
| Provider Name | Kimberly Ann Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639573421 PECOS PAC ID: 7618290636 Enrollment ID: I20210520002719 |
| Provider Name | Laurie A Wellman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609341031 PECOS PAC ID: 0840694055 Enrollment ID: I20210810004066 |
| Provider Name | Maureen Magut Charette |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205812476 PECOS PAC ID: 0042235848 Enrollment ID: I20210901000972 |
| Provider Name | Natasha Sajeevika Neal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760989974 PECOS PAC ID: 2163770454 Enrollment ID: I20211006002328 |
| Provider Name | Cecily J Swinburne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790289916 PECOS PAC ID: 3072852805 Enrollment ID: I20220531001908 |
| Provider Name | Eric W Maughan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710349857 PECOS PAC ID: 4880989540 Enrollment ID: I20220928003007 |
| Provider Name | Julian Joseph Weinstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124686043 PECOS PAC ID: 4486067535 Enrollment ID: I20221011002316 |
| Provider Name | Audrey L Farley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891417143 PECOS PAC ID: 2567839327 Enrollment ID: I20221108000400 |
| Provider Name | Alice C Dastrup |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053859595 PECOS PAC ID: 6709163629 Enrollment ID: I20221108001199 |
| Provider Name | Shannon M Murray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689951659 PECOS PAC ID: 2769621747 Enrollment ID: I20221117002085 |
| Provider Name | Lauren V Manning |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902338999 PECOS PAC ID: 8123391976 Enrollment ID: I20221121001139 |
| Provider Name | Mercedes L Ang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033341813 PECOS PAC ID: 1557512167 Enrollment ID: I20221121002750 |
| Provider Name | Lauren R. Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174237754 PECOS PAC ID: 1052783727 Enrollment ID: I20230206001281 |
| Provider Name | Alexander Kulczycki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992932248 PECOS PAC ID: 7012056757 Enrollment ID: I20230313001157 |
| Provider Name | Katelynn E Badger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710508478 PECOS PAC ID: 0648680058 Enrollment ID: I20230329002250 |
| Provider Name | Thomas J Giannaccini |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861814238 PECOS PAC ID: 1052535382 Enrollment ID: I20230508002477 |
| Provider Name | Jolita M Auguste |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063772283 PECOS PAC ID: 9739442484 Enrollment ID: I20230711003072 |
| Provider Name | Kelley D Babcock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528387198 PECOS PAC ID: 6204184690 Enrollment ID: I20230825000232 |
| Provider Name | Alexis C Lawrence |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881912194 PECOS PAC ID: 5991921157 Enrollment ID: I20230828003730 |
| Provider Name | John Paul E Craford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972866622 PECOS PAC ID: 7012220825 Enrollment ID: I20230829000592 |
| Provider Name | Maddrey A Coover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376220616 PECOS PAC ID: 3476916628 Enrollment ID: I20230906000247 |
| Provider Name | Daniel E Lomelin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043832058 PECOS PAC ID: 7416376439 Enrollment ID: I20230914002764 |
| Provider Name | Kristiana M Oleson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336459072 PECOS PAC ID: 2567710577 Enrollment ID: I20231109000379 |
| Provider Name | Angela Arnold-ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548713191 PECOS PAC ID: 0941588693 Enrollment ID: I20240306004133 |
Parker Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Mount Desert St Ste 5, Bar Harbor, ME 04609 Phone: 207-288-0624 Fax: 207-288-0632 |