| Christopher L Nelson, PAC | |
|
360 Broadway, Bangor, ME 04401-3979 | |
| (207) 907-1770 | |
| (207) 907-3675 |
| Full Name | Christopher L Nelson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 360 Broadway, Bangor, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477596880 | NPI | - | NPPES |
| PA691 | Other | ME | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA691 (Maine) | Primary |
| Entity Name | Eastern Maine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088 |
| Entity Name | St Joseph Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154321545 PECOS PAC ID: 6406766336 Enrollment ID: O20040604000895 |
| Entity Name | Down East Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689670242 PECOS PAC ID: 6709858194 Enrollment ID: O20040809000314 |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1841397932 PECOS PAC ID: 7517860588 Enrollment ID: O20181105001181 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher L Nelson, PAC C/o St Marys Health System - Provider Enrollment, Po Box 7291, Lewiston, ME 04243-7291 Ph: (207) 777-8941 | Christopher L Nelson, PAC 360 Broadway, Bangor, ME 04401-3979 Ph: (207) 907-1770 |
Sarah Anne Whitty, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 915 Union St Ste 4, Bangor, ME 04401 Phone: 973-768-5029 |
Mary White, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 543 Broadway, Bangor, ME 04401 Phone: 207-922-1300 Fax: 207-217-6742 |
Margaret Elizabeth Kasper, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4949 |
Kenneth G Nadeau, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1068 Union St, Bangor, ME 04401 Phone: 207-404-8181 Fax: 207-922-4198 |
Dara H Knapp, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000 Fax: 207-973-5042 |
Kate Lucille Blanchard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000 |
Jake Pristupa, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 55 Broadway Ste 2, Bangor, ME 04401 Phone: 207-947-0496 |