| Stacey Thibodeau, | |
|
15 Enterprise Dr, Augusta, ME 04330-7997 | |
| (207) 621-7500 | |
| Not Available |
| Full Name | Stacey Thibodeau |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 15 Enterprise Dr, Augusta, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679949382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT2720 (Maine) | Primary |
| Provider Name | Central Maine Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Thibodeau, 15 Enterprise Dr, Augusta, ME 04330-7997 Ph: (207) 621-7500 | Stacey Thibodeau, 15 Enterprise Dr, Augusta, ME 04330-7997 Ph: (207) 621-7500 |
Resolve Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Stone St, Augusta, ME 04330 Phone: 207-621-6378 | |
Wendy Claveau, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Enterprise Dr, Augusta, ME 04330 Phone: 207-621-7500 | |
Joshua Barlow, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 219 Capitol St, Suite 2, Augusta, ME 04330 Phone: 615-778-4066 Fax: 615-778-9114 | |
Joshua Penney, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Va Ctr, Augusta, ME 04330 Phone: 603-630-0648 | |
Dr. Thomas Sandoval, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 40 Glenridge Dr, Augusta, ME 04330 Phone: 207-626-2600 | |
Kayla Scott Jones Sprowl, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 160 Riverside Dr, Augusta, ME 04330 Phone: 207-622-9467 | |
Patricia Prescott, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Enterprise Dr, Augusta, ME 04330 Phone: 207-621-7500 |