| Ellen N Medrano, PA | |
|
180 Church Hill Rd Ste 1, Leeds, ME 04263-3418 | |
| (207) 524-3501 | |
| (207) 524-2093 |
| Full Name | Ellen N Medrano |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 180 Church Hill Rd Ste 1, Leeds, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083738736 | NPI | - | NPPES |
| 1083738736 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA428 (Maine) | Primary |
| Entity Name | Central Maine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441 |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200403000094 |
| Entity Name | Signify Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210225001693 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen N Medrano, PA 180 Church Hill Rd Ste 1, Leeds, ME 04263-3418 Ph: (207) 524-3501 | Ellen N Medrano, PA 180 Church Hill Rd Ste 1, Leeds, ME 04263-3418 Ph: (207) 524-3501 |
Diane Handler, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 180 Church Hill Rd, Ste 1, Leeds, ME 04263 Phone: 207-524-3501 Fax: 207-524-2459 |
Olivia G. June, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 180 Church Hill Rd Ste 1, Leeds, ME 04263 Phone: 207-524-3501 |
Heather I. Robertson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 180 Church Hill Rd, Suite 1, Leeds, ME 04263 Phone: 207-524-3501 Fax: 207-524-2459 |
John Wironen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 180 Church Hill Rd Ste 1, Leeds, ME 04263 Phone: 207-524-3501 Fax: 207-524-2093 |
Magdalena A Zweifel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 180 Church Hill Rd, Suite 1, Leeds, ME 04263 Phone: 207-524-3501 Fax: 207-524-2459 |