| Mrs Diana Vandermast, FNP | |
|
22 Haley Ct, Sangerville, ME 04479-3000 | |
| (207) 876-4811 | |
| (207) 695-2329 |
| Full Name | Mrs Diana Vandermast |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 22 Years |
| Location | 22 Haley Ct, Sangerville, Maine |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669423349 | NPI | - | NPPES |
| P00796680 | Other | ME | TRAVELERS MEDICARE |
| 432355199 | Medicaid | ME | |
| 434805099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R048203 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Regional Hospital | Dover foxcroft, ME | Hospital |
| Eastern Maine Medical Center | Bangor, ME | Hospital |
| Charles A Dean Memorial Hospital | Greenville, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mrh Corp | 1355770892 | 22 |
| Entity Name | Charles A Dean Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659388213 PECOS PAC ID: 1557279031 Enrollment ID: O20100608000349 |
| Entity Name | Mrh Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558319103 PECOS PAC ID: 1355770892 Enrollment ID: O20200803002384 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Diana Vandermast, FNP Po Box 1129, Greenville, ME 04441-1129 Ph: (207) 695-5215 | Mrs Diana Vandermast, FNP 22 Haley Ct, Sangerville, ME 04479-3000 Ph: (207) 876-4811 |
Shelly Roope, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22 Haley Ct, Sangerville, ME 04479 Phone: 207-876-4811 Fax: 207-876-4302 | |
Sierra Valente, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 Haley Ct, Sangerville, ME 04479 Phone: 207-876-4811 | |
Ms. Nancy A. Honeychuck, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 632 E Sangerville Rd, Sangerville, ME 04479 Phone: 716-361-9167 |