Colby Beth Mickartz, AG-ACNP | |
11 Rock Row Ste 120, Westbrook, ME 04092-4877 | |
(207) 303-3300 | |
(207) 250-2137 |
Full Name | Colby Beth Mickartz |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 11 Rock Row Ste 120, Westbrook, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164263489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | CNP241192 (Maine) | Secondary |
363L00000X | Nurse Practitioner | CNP241192 (Maine) | Primary |
Entity Name | Maine Center For Cancer Medicine & Blood Disorders Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205896107 PECOS PAC ID: 0840195186 Enrollment ID: O20031201000458 |
Mailing Address | Practice Location Address |
---|---|
Colby Beth Mickartz, AG-ACNP Po Box 911, Brattleboro, VT 05302-0911 Ph: (207) 303-3200 | Colby Beth Mickartz, AG-ACNP 11 Rock Row Ste 120, Westbrook, ME 04092-4877 Ph: (207) 303-3300 |
Samuel Acha Acha, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 950 Main St, Westbrook, ME 04092 Phone: 207-517-3800 Fax: 207-517-3819 | |
Amy N Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Harnois Ave Ste 2a, Westbrook, ME 04092 Phone: 207-661-3400 | |
Mr. Jamie Lee Theriault, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Rock Row Ste 120, Westbrook, ME 04092 Phone: 207-303-3300 Fax: 207-250-2139 | |
Evelyn Hayden Bunce, APRN-CNP, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 123 Andover Rd, Westbrook, ME 04092 Phone: 207-761-2200 | |
Charles S Matusovich, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Chabot St, Westbrook, ME 04092 Phone: 207-857-9311 Fax: 207-857-9324 | |
Jessica Lynn Gorham, APRN, FNP, NP-C, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Rock Row Ste 120, Westbrook, ME 04092 Phone: 207-303-3300 Fax: 207-250-2139 |