| Ryan Alan Plummer, | |
|
175 Fore River Pkwy, Portland, ME 04102-2779 | |
| (207) 879-3599 | |
| Not Available |
| Full Name | Ryan Alan Plummer |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 175 Fore River Pkwy, Portland, 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 |
|---|---|---|---|
| 1720786916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA2496 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northern Light Eastern Maine Medical Center | Bangor, ME | Hospital |
| Northern Light Mayo Hospital | Dover foxcroft, ME | Hospital |
| Northern Light Maine Coast Hospital | Ellsworth, ME | Hospital |
| Northern Light Sebasticook Valley Hospital | Pittsfield, ME | Hospital |
| Northern Light A R Gould Hospital | Presque isle, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eastern Maine Medical Center | 2062315161 | 659 |
| Entity Name | Eastern Maine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Alan Plummer, 175 Fore River Pkwy, Portland, ME 04102-2779 Ph: (207) 879-3000 | Ryan Alan Plummer, 175 Fore River Pkwy, Portland, ME 04102-2779 Ph: (207) 879-3599 |
Abby Lynn Labrecque, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-8111 Fax: 207-662-8133 |
Hannah Blomquist Stonebreaker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 43 Baxter Blvd, Portland, ME 04101 Phone: 207-662-7180 Fax: 207-662-7190 |
Addison Landry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 818 Congress St, Portland, ME 04102 Phone: 207-773-8161 Fax: 207-773-1489 |
Ms. Lori A Niland, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall Street, Portland, ME 04102 Phone: 207-662-2934 Fax: 207-662-6389 |
Diana H Wagman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 33 Sewall St, Portland, ME 04102 Phone: 207-828-2100 |
Aliyah Rose Murphy, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 716 Stevens Ave, Portland, ME 04103 Phone: 207-283-0171 |
Meredith Beauregard, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Pavilion 1203, Portland, ME 04102 Phone: 207-662-4618 Fax: 207-662-6254 |