| John Bastin, PA-C | |
|
57 Water Street, Blue Hill, ME 04614 | |
| (207) 795-0111 | |
| Not Available |
| Full Name | John Bastin |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 57 Water Street, Blue Hill, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841263142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-652 (Maine) | Secondary |
| 363A00000X | Physician Assistant | PA9110037 (Florida) | Primary |
| Entity Name | Tallahassee Memorial Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437177664 PECOS PAC ID: 6103724778 Enrollment ID: O20031222000279 |
| Entity Name | Florida Medical Practice Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326386293 PECOS PAC ID: 3971608993 Enrollment ID: O20070420000065 |
| Entity Name | Paragon Emergency Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Entity Name | Patients First Lake Ella Medical Center P a |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164524039 PECOS PAC ID: 4082760566 Enrollment ID: O20090924000578 |
| Entity Name | Small Hospital Innovations LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20140715000513 |
| Entity Name | Lake Oliver Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013675016 PECOS PAC ID: 4688060940 Enrollment ID: O20220413002299 |
| Entity Name | Emergency Medicine Services of FL LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| John Bastin, PA-C 57 Water Street, Blue Hill, ME 04614 Ph: (207) 374-3911 | John Bastin, PA-C 57 Water Street, Blue Hill, ME 04614 Ph: (207) 795-0111 |
Mr. Kurt Lawrence Judson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 57 Water St, Blue Hill, ME 04614 Phone: 207-374-3943 Fax: 207-374-3978 |
Sarah Faith Carter, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 57 Water St, Blue Hill, ME 04614 Phone: 207-374-3400 |
Ms. Elaine R Mangini, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 57 Water St, Blue Hill, ME 04614 Phone: 207-374-3930 |
Mr. Raymond J. Mitchell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 57 Water St., Blue Hill, ME 04614 Phone: 207-374-3911 Fax: 207-374-3986 |
Mr. Richard A. Wiemer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 57 Water Street, Blue Hill, ME 04614 Phone: 207-374-3911 Fax: 207-374-3986 |