| Mr Bradley Kent Lindstrom Jr, PA | |
|
50 Union St, Ellsworth, ME 04605-1599 | |
| (207) 664-5340 | |
| (207) 664-5338 |
| Full Name | Mr Bradley Kent Lindstrom Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 50 Union St, Ellsworth, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861706681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Entity Name | Hot Springs County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861550642 PECOS PAC ID: 9234020439 Enrollment ID: O20040324001069 |
| Entity Name | Hot Springs County Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1861550642 PECOS PAC ID: 9234020439 Enrollment ID: O20061104000658 |
| Entity Name | Summit Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457802993 PECOS PAC ID: 5092094532 Enrollment ID: O20161128000947 |
| Entity Name | Ivinson Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033628599 PECOS PAC ID: 8325304447 Enrollment ID: O20171213002021 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bradley Kent Lindstrom Jr, PA 1501 S Yale St, Ste 150, Flagstaff, AZ 86001-7337 Ph: (928) 527-4325 | Mr Bradley Kent Lindstrom Jr, PA 50 Union St, Ellsworth, ME 04605-1599 Ph: (207) 664-5340 |
Jesse R Cloutier, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Union St, Suite 2100, Ellsworth, ME 04605 Phone: 207-664-5770 Fax: 207-664-5777 |
James G Grossman, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 32 Resort Way, Ellsworth, ME 04605 Phone: 207-664-5480 Fax: 207-664-5490 |
Katharine Sherrill, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 50 Union St, Maine Coast Memorial Hospital, Ellsworth, ME 04605 Phone: 207-664-5340 Fax: 207-664-5338 |
Ms. Jane Reinoso, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 235 High St, Ellsworth, ME 04605 Phone: 207-412-5200 |
Amy Louise Case, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Union St, Ellsworth, ME 04605 Phone: 207-664-5311 |
Thomas Macdonald, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 50 Union St, Maine Coast Memorial Hospital, Ellsworth, ME 04605 Phone: 207-664-5340 Fax: 207-664-5338 |
Alyssa Joy Diver, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 235 High St, Ellsworth, ME 04605 Phone: 207-412-5200 |