| Lisa M Eno, FNP | |
|
197 East Main Street, Suite 101, Fort Kent, ME 04743 | |
| (207) 834-6784 | |
| (207) 834-2967 |
| Full Name | Lisa M Eno |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 197 East Main Street, Fort Kent, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003898677 | NPI | - | NPPES |
| D46407 | Other | ANTHEM | |
| 999010617 | Medicaid | ME | |
| 266740099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP081368 (Maine) | Primary |
| 363LF0000X | Nurse Practitioner - Family | R034632 (Maine) | Secondary |
| Entity Name | Northern Maine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568465144 PECOS PAC ID: 8426952987 Enrollment ID: O20040511000177 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M Eno, FNP 194 East Main Street, Fort Kent, ME 04743 Ph: (207) 834-6784 | Lisa M Eno, FNP 197 East Main Street, Suite 101, Fort Kent, ME 04743 Ph: (207) 834-6784 |
Renee Pelletier, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 197 E Main St, Fort Kent, ME 04743 Phone: 207-834-6784 |
Stephanie Lynne Michaud, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 194 E Main St, Fort Kent, ME 04743 Phone: 207-834-3155 Fax: 207-834-2949 |
Joey Ouellette, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 194 E Main St, Fort Kent, ME 04743 Phone: 207-231-2515 |
Sarah Ellsworth, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 194 E Main St, Fort Kent, ME 04743 Phone: 207-834-3101 Fax: 207-834-2917 |
Jodi Pearl Cote, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 194 E Main St, Fort Kent, ME 04743 Phone: 207-834-1329 |
Tyler James Stoliker, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 194 E Main St, Fort Kent, ME 04743 Phone: 207-834-6784 Fax: 207-834-2967 |
Sarah Patricia Pelletier, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Bolduc Ave, Fort Kent, ME 04743 Phone: 207-834-3971 Fax: 207-834-3837 |