| Mr Timothy P Canham, PA-C | |
|
119 Northport Ave Fl 1, Belfast, ME 04915-6069 | |
| (207) 505-4567 | |
| (207) 536-2794 |
| Full Name | Mr Timothy P Canham |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 36 Years |
| Location | 119 Northport Ave Fl 1, Belfast, 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 |
|---|---|---|---|
| 1780789057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA550 (Maine) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA550 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mainehealth Waldo Hospital | Belfast, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mainehealth | 7517860588 | 2616 |
| Entity Name | Waldo County General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841397932 PECOS PAC ID: 2163332883 Enrollment ID: O20040428001058 |
| 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 | Mainehealth |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1841397932 PECOS PAC ID: 7517860588 Enrollment ID: O20181105001181 |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1912094806 PECOS PAC ID: 7517860588 Enrollment ID: O20181106000009 |
| Entity Name | Convenientmd - Ffs UC LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780375220 PECOS PAC ID: 5193186492 Enrollment ID: O20230803000124 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy P Canham, PA-C 119 Northport Ave Fl 1, Belfast, ME 04915-6069 Ph: (207) 505-4567 | Mr Timothy P Canham, PA-C 119 Northport Ave Fl 1, Belfast, ME 04915-6069 Ph: (207) 505-4567 |
Michael Calder Gill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 118 Northport Ave, Belfast, ME 04915 Phone: 207-338-2500 |
Ainsley J Price, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 119 Northport Ave Fl 2, Belfast, ME 04915 Phone: 207-505-4970 Fax: 207-618-5563 |
Krista Bellassai, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 118 Northport Ave, Belfast, ME 04915 Phone: 207-338-2500 |
Shellyann Wall, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 118 Northport Ave, Belfast, ME 04915 Phone: 207-338-2500 Fax: 207-505-4590 |
Ashleigh Michelle Knoeferl, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 116 Northport Ave Ste 214, Belfast, ME 04915 Phone: 207-505-4398 Fax: 207-560-9920 |
Mr. Thomas H Robinson, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 119 Northport Ave, Coastal Medical Care, Belfast, ME 04915 Phone: 207-339-8412 Fax: 207-338-8368 |
Vince M Labrecque, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 118 Northport Ave, Belfast, ME 04915 Phone: 207-338-2500 |