| Jolene R Driver, PAC | |
|
242 Brunswick St, Old Town, ME 04468-1613 | |
| (207) 827-6128 | |
| (207) 827-6605 |
| Full Name | Jolene R Driver |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 242 Brunswick St, Old Town, Maine |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730119967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA03332 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA2180 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northern Light Maine Coast Hospital | Ellsworth, ME | Hospital |
| Northern Light Blue Hill Memorial Hospital | Blue hill, ME | Hospital |
| Mount Desert Island Hospital | Bar harbor, ME | Hospital |
| Calais Community Hospital | Calais, ME | Hospital |
| Down East Community Hospital | Machias, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maine Coast Regional Health Facilities | 1052208113 | 73 |
| Entity Name | Maine Coast Regional Health Facilities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740249739 PECOS PAC ID: 1052208113 Enrollment ID: O20040804001405 |
| Entity Name | The Blue Hill Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1023057809 PECOS PAC ID: 7911991336 Enrollment ID: O20061104000596 |
| Entity Name | The Blue Hill Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023057809 PECOS PAC ID: 7911991336 Enrollment ID: O20080312000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Jolene R Driver, PAC Po Box 1599, Bangor, ME 04402-1599 Ph: (207) 404-8200 | Jolene R Driver, PAC 242 Brunswick St, Old Town, ME 04468-1613 Ph: (207) 827-6128 |
Kristen D Geiger, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-404-8100 Fax: 207-947-0435 |
Charles A Roberts, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-6605 |
Linda M Christensen, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-5533 |
Shyla L Russell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 |
Kay M Nash, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-907-7079 |