| Mr Steven T Leclair, AGACNP-BC | |
|
612 Prescott Rd, Manchester, ME 04351-3012 | |
| (207) 212-9869 | |
| Not Available |
| Full Name | Mr Steven T Leclair |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 612 Prescott Rd, Manchester, 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 |
|---|---|---|---|
| 1588320360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 0024192018 (Virginia) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | CNP211367 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastern Maine Medical Center | Bangor, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Martha Jefferson Medical Group Llc | 5991889081 | 170 |
| Entity Name | Martha Jefferson Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275720559 PECOS PAC ID: 5991889081 Enrollment ID: O20080228000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Steven T Leclair, AGACNP-BC 612 Prescott Rd, Manchester, ME 04351-3012 Ph: () - | Mr Steven T Leclair, AGACNP-BC 612 Prescott Rd, Manchester, ME 04351-3012 Ph: (207) 212-9869 |
Mr. Christopher Curtis King, APRN-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29 Bowdoin St, Manchester, ME 04351 Phone: 207-622-4500 | |
Sandra J Picard, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8 Pond Rd, Manchester, ME 04351 Phone: 207-512-8780 Fax: 207-623-3137 | |
Ms. Suzanne Wentworth Meub, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29 Bowdoin St, Manchester, ME 04351 Phone: 207-622-4500 Fax: 207-622-5452 |