| Dustin Blackington, | |
|
244 Western Avenue, South Portland, ME 04106 | |
| (207) 775-3446 | |
| (207) 879-1646 |
| Full Name | Dustin Blackington |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 11 Years |
| Location | 244 Western Avenue, South 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 |
|---|---|---|---|
| 1134591712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 117258 (Texas) | Secondary |
| 225X00000X | Occupational Therapist | OT3637 (Maine) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Plastic And Hand Surgical Associates | 3476543208 | 16 |
| Provider Name | Plastic & Hand Surgical Associates |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679687594 PECOS PAC ID: 3476543208 Enrollment ID: O20040514000129 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Blackington, 244 Western Avenue, South Portland, ME 04106 Ph: (207) 775-3446 | Dustin Blackington, 244 Western Avenue, South Portland, ME 04106 Ph: (207) 775-3446 |
Adrienne Toof, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 119 Gannett Dr, South Portland, ME 04106 Phone: 207-773-0040 | |
Carolyn Anne Wilson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 119 Gannett Dr, South Portland, ME 04106 Phone: 207-773-0040 Fax: 207-661-4630 | |
Erin Masterson, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 483 Ocean St, South Portland, ME 04106 Phone: 207-233-0976 | |
Patrick Boscherini, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 26 Minott St Apt A7, South Portland, ME 04106 Phone: 207-712-1481 | |
Mr. Neal Hannon Drew, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 Wescott Rd, South Portland, ME 04106 Phone: 207-871-0555 | |
Mr. Cory Breidt, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Margaret St Apt D, South Portland, ME 04106 Phone: 908-752-7712 |