| Mr Todd H Chisholm, PA | |
|
12 Union St, Rockland, ME 04841-2739 | |
| (207) 701-4400 | |
| (207) 701-4487 |
| Full Name | Mr Todd H Chisholm |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 12 Union St, Rockland, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093804577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA1230 (Maine) | Primary |
| Entity Name | Northern Maine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568465144 PECOS PAC ID: 8426952987 Enrollment ID: O20040511000177 |
| Entity Name | State of Maine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699776146 PECOS PAC ID: 7517875131 Enrollment ID: O20040610001611 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Todd H Chisholm, PA 12 Union St, Rockland, ME 04841-2739 Ph: (207) 701-4400 | Mr Todd H Chisholm, PA 12 Union St, Rockland, ME 04841-2739 Ph: (207) 701-4400 |
Alisyn Denese Zuber, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 Maverick St, Rockland, ME 04841 Phone: 207-301-6000 Fax: 207-800-4144 |
Teagan F O'toole, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22 White St, Rockland, ME 04841 Phone: 207-301-6022 |
Christine Hawxhurst, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22 White St Ste 101, Rockland, ME 04841 Phone: 207-301-6000 |