| Ethan Evankow, PA | |
|
897 W Main St, Dover Foxcroft, ME 04426-1029 | |
| (207) 564-8401 | |
| Not Available |
| Full Name | Ethan Evankow |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 897 W Main St, Dover Foxcroft, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528580966 | NPI | - | NPPES |
| Entity Name | St Marys Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447226584 PECOS PAC ID: 0042107120 Enrollment ID: O20040303000236 |
| Entity Name | Emergency Medicine Services of Maine LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578032058 PECOS PAC ID: 1052657616 Enrollment ID: O20190118000889 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Evankow, PA Po Box 639601, Cincinnati, OH 45263-9601 Ph: (856) 686-4393 | Ethan Evankow, PA 897 W Main St, Dover Foxcroft, ME 04426-1029 Ph: (207) 564-8401 |
Mr. William Stephen Sheppard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 897 W Main St, Dover Foxcroft, ME 04426 Phone: 207-564-8401 |
David H Flaherty, DMSC, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 188 Summer St, Dover Foxcroft, ME 04426 Phone: 207-523-3700 Fax: 207-528-2880 |
Margaret Swan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 891 W Main St, Suite 200, Dover Foxcroft, ME 04426 Phone: 207-564-4464 Fax: 207-564-4461 |
Brittany Hackett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 897 W Main St, Dover Foxcroft, ME 04426 Phone: 207-564-4251 |
Dr. Erin Jeanette Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 897 W Main St, Dover Foxcroft, ME 04426 Phone: 207-973-4000 |
Joanne Reiniger, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 891 W Main St, Suite 200, Dover Foxcroft, ME 04426 Phone: 207-564-4464 Fax: 207-564-4461 |
Alyssa Deem, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 188 Summer St, Dover Foxcroft, ME 04426 Phone: 207-528-2285 |