| John D Clark, PA-C | |
|
39 Miles St., Damariscotta, ME 04543-0000 | |
| (207) 563-1040 | |
| (207) 563-1039 |
| Full Name | John D Clark |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 37 Years |
| Location | 39 Miles St., Damariscotta, Maine |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841228889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA-319 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mainehealth Pen Bay Hospital | Rockport, ME | Hospital |
| Mainehealth Maine Medical Center | Portland, ME | Hospital |
| Mainehealth Waldo Hospital | Belfast, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mainehealth | 7517860588 | 2616 |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Entity Name | Penobscot Bay Physicians & Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497799720 PECOS PAC ID: 4981592383 Enrollment ID: O20040824000665 |
| Mailing Address | Practice Location Address |
|---|---|
| John D Clark, PA-C 4 Glen Cove Dr Ste 206, Rockport, ME 04856-4239 Ph: (207) 921-5454 | John D Clark, PA-C 39 Miles St., Damariscotta, ME 04543-0000 Ph: (207) 563-1040 |
Lindsay Merriman Fox, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 35 Miles St, Damariscotta, ME 04543 Phone: 207-563-4268 Fax: 207-563-4321 |
Michael Scott Baldwin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24 Miles Center Way, Damariscotta, ME 04543 Phone: 207-563-1040 Fax: 207-810-2412 |
Jesse Michael Cheney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24 Miles Center Way, Damariscotta, ME 04543 Phone: 207-563-4252 Fax: 207-810-4980 |
David H Kuhns, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Miles Medical Group Emergency Dept, 35 Miles St, Damariscotta, ME 04543 Phone: 207-563-4521 Fax: 207-563-4560 |
Monika Ewa Krupska-buckley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 24 Miles Center Way, Damariscotta, ME 04543 Phone: 207-563-4250 Fax: 207-810-4977 |
Mrs. Haley E Doak, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 68 Chapman St, Damariscotta, ME 04543 Phone: 207-563-6623 Fax: 207-563-6625 |
Mrs. Isabel Rose Oliver, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 24 Miles Center Way, Damariscotta, ME 04543 Phone: 207-563-4252 Fax: 207-810-4980 |