| Jeannie M Ross, PNP | |
|
887 Congress St, Suite 300, Portland, ME 04102-3100 | |
| (207) 662-5522 | |
| (207) 662-5526 |
| Full Name | Jeannie M Ross |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 887 Congress St, Portland, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437276094 | NPI | - | NPPES |
| 244920099 | Medicaid | ME | |
| 30346655 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R023443 (Maine) | Primary |
| Entity Name | Maine Medical Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144090 PECOS PAC ID: 9335043967 Enrollment ID: O20040331000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeannie M Ross, PNP 39 Wallace Ave, South Portland, ME 04106-6143 Ph: (207) 662-5522 | Jeannie M Ross, PNP 887 Congress St, Suite 300, Portland, ME 04102-3100 Ph: (207) 662-5522 |
Ms. Nicole L. Mizner, C.P.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 887 Congress St, Suite 310, Portland, ME 04102 Phone: 207-773-2723 Fax: 207-773-3941 | |
Patricia Mae Wieler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 Congress St, Portland, ME 04102 Phone: 207-773-8161 | |
John Robert Sibilia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111 | |
Ms. Kelly Irene Daly, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 Sewall St Ste 1, Portland, ME 04102 Phone: 207-774-5761 Fax: 207-874-7478 | |
Katharine E Addicott, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2911 Fax: 207-662-6006 | |
Meryl Jones Scichilone, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 195 Fore River Pkwy Ste 410, Portland, ME 04102 Phone: 207-774-9839 | |
Leah Victoria Mahoney, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 66 Bramhall St, Portland, ME 04102 Phone: 207-662-3157 Fax: 207-662-4257 |