| Andrew Guppy, PA | |
|
775 N Main St, Winterport, ME 04496 | |
| (207) 223-5074 | |
| (207) 223-5953 |
| Full Name | Andrew Guppy |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 36 Years |
| Location | 775 N Main St, Winterport, Maine |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679582126 | NPI | - | NPPES |
| 276740099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA371 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centerwell Home Health | Reno, NV | Home health agency |
| Carson Valley Health | Gardnerville, NV | Hospital |
| Carson Tahoe Regional Medical Center | Carson city, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carson Valley Medical Center Rural Health Clinic | 2860579984 | 43 |
| Entity Name | Washoe Barton Medical Clinic a Nevada Nonprofit Corporation |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1396799102 PECOS PAC ID: 7214835149 Enrollment ID: O20061104000237 |
| Entity Name | Washoe Barton Medical Clinic a Nevada Nonprofit Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396799102 PECOS PAC ID: 7214835149 Enrollment ID: O20061127000164 |
| Entity Name | Carson Valley Medical Center Rural Health Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174708879 PECOS PAC ID: 2860579984 Enrollment ID: O20080414000239 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Guppy, PA Po Box 921, Bangor, ME 04402-0921 Ph: (207) 942-7650 | Andrew Guppy, PA 775 N Main St, Winterport, ME 04496 Ph: (207) 223-5074 |