| Mr Jamie Lee Theriault, APRN | |
|
11 Rock Row Ste 120, Westbrook, ME 04092-4877 | |
| (207) 303-3300 | |
| (207) 250-2139 |
| Full Name | Mr Jamie Lee Theriault |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 11 Rock Row Ste 120, Westbrook, 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 |
|---|---|---|---|
| 1063996809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | ARNP9376950 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | CNP181272 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Maine Medical Center | Portland, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maine Center For Cancer Medicine And Blood Disorders Pa | 0840195186 | 65 |
| Entity Name | Maine Center For Cancer Medicine & Blood Disorders Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205896107 PECOS PAC ID: 0840195186 Enrollment ID: O20031201000458 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jamie Lee Theriault, APRN Po Box 911, Brattleboro, VT 05302-0911 Ph: (207) 303-3200 | Mr Jamie Lee Theriault, APRN 11 Rock Row Ste 120, Westbrook, ME 04092-4877 Ph: (207) 303-3300 |
Samuel Acha Acha, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 950 Main St, Westbrook, ME 04092 Phone: 207-517-3800 Fax: 207-517-3819 | |
Amy N Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Harnois Ave Ste 2a, Westbrook, ME 04092 Phone: 207-661-3400 | |
Evelyn Hayden Bunce, APRN-CNP, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 123 Andover Rd, Westbrook, ME 04092 Phone: 207-761-2200 | |
Charles S Matusovich, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Chabot St, Westbrook, ME 04092 Phone: 207-857-9311 Fax: 207-857-9324 | |
Jessica Lynn Gorham, APRN, FNP, NP-C, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Rock Row Ste 120, Westbrook, ME 04092 Phone: 207-303-3300 Fax: 207-250-2139 | |
Colby Beth Mickartz, AG-ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Rock Row Ste 120, Westbrook, ME 04092 Phone: 207-303-3300 Fax: 207-250-2137 |