| Mark Ouellette, FNP-C | |
|
2 Livewell Drive - North Tower, Kennebunk, ME 04043 | |
| (207) 467-6900 | |
| Not Available |
| Full Name | Mark Ouellette |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 2 Livewell Drive - North Tower, Kennebunk, 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 |
|---|---|---|---|
| 1447649280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | CNP151002 (Maine) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | CNP151002 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Maine Medical Center | Portland, ME | Hospital |
| Northern Light Mercy Hospital | Portland, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Hospital | 6103737812 | 250 |
| Mainehealth | 7517860588 | 2288 |
| Entity Name | Mainegeneral Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718 |
| Entity Name | Mercy Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629078712 PECOS PAC ID: 6103737812 Enrollment ID: O20040217000943 |
| Entity Name | Central Maine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441 |
| 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 | Southern Maine Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659392819 PECOS PAC ID: 0143208348 Enrollment ID: O20040713001060 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Ouellette, FNP-C Po Box 1638, Albany, NY 12201-1638 Ph: (207) 777-4111 | Mark Ouellette, FNP-C 2 Livewell Drive - North Tower, Kennebunk, ME 04043 Ph: (207) 467-6900 |
Meredith B Ryan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 Portland Rd Ste 47, Kennebunk, ME 04043 Phone: 207-502-7386 Fax: 207-502-7661 | |
Harriet Sanclemente, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3 Shape Dr, Kennebunk, ME 04043 Phone: 207-467-8930 Fax: 207-985-8459 | |
Kimberly Proos Parrillo, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Livewell Dr, Kennebunk, ME 04043 Phone: 207-467-8988 | |
Kristy M Laroche, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Livewell Dr, Kennebunk, ME 04043 Phone: 467-880-0207 | |
Ms. Harpswell Engman Coffin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Livewell Dr, Kennebunk, ME 04043 Phone: 207-467-8988 | |
Angela Myra Reed, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Independence Dr, Kennebunk, ME 04043 Phone: 207-303-3300 Fax: 207-250-2144 | |
Renate Repele-bailey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Independence Dr, Kennebunk, ME 04043 Phone: 207-303-3300 Fax: 207-250-2137 |