| Ethan S Caron, PAC | |
|
992 Union St, Bangor, ME 04401-3057 | |
| (207) 404-8100 | |
| (207) 947-0435 |
| Full Name | Ethan S Caron |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 992 Union St, 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 |
|---|---|---|---|
| 1932763331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA2097 (Maine) | Secondary |
| 363A00000X | Physician Assistant | OA006966 (Pennsylvania) | Primary |
| Entity Name | Geps Physician Group of Pennsylvania PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467471615 PECOS PAC ID: 8426953597 Enrollment ID: O20031204000010 |
| Entity Name | Alignmed Partners PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180123000502 |
| Entity Name | Alignmed Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366289423 PECOS PAC ID: 3476090440 Enrollment ID: O20240819000150 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan S Caron, PAC Po Box 1599, Bangor, ME 04402-1599 Ph: (207) 404-8200 | Ethan S Caron, PAC 992 Union St, Bangor, ME 04401-3057 Ph: (207) 404-8100 |
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 |