| Ms Elissa Madore, MPT | |
| 82 Sylvan Rd, Bangor, ME 04401-4221 | |
| (207) 401-4324 | |
| (207) 401-4325 | 
| Full Name | Ms Elissa Madore | 
|---|---|
| Gender | Female | 
| Speciality | Physical Therapist | 
| Location | 82 Sylvan Rd, Bangor, Maine | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053343954 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | PT2936 (Maine) | Primary | 
| Provider Name | County Physical Therapy Llc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1386686616 PECOS PAC ID: 3779520242 Enrollment ID: O20050415000373 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Elissa Madore, MPT 82 Sylvan Rd, Bangor, ME 04401-4221 Ph: (207) 401-4324 | Ms Elissa Madore, MPT 82 Sylvan Rd, Bangor, ME 04401-4221 Ph: (207) 401-4324 | 
| Dr. Ian William Bauersfeld, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 277 State St Ste 1b, Bangor, ME 04401 Phone: 207-922-4000 | |
| Susan Austin,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 133 Corporate Dr, Suite 2, Bangor, ME 04401 Phone: 207-992-9286 Fax: 207-992-9287 | |
| Dr. Richard Adam Sukiennik, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 758 Broadway, Bangor, ME 04401 Phone: 207-941-8400 Fax: 207-990-1745 | |
| Pine Tree Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 760 Union St, Bangor, ME 04401 Phone: 207-942-2266 Fax: 207-942-7577 | |
| Mr. Delany B Wilkes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12 Stillwater Ave, Bangor, ME 04401 Phone: 207-945-2946 | |
| Mikaylah Payeur,  Physical Therapist Medicare: Medicare Enrolled Practice Location: 1365 Broadway, Bangor, ME 04401 Phone: 207-942-2233 |