| Northern Light Internal Medicine Dexter | |
|
41 High St Dexter ME 04930-1311 | |
| (207) 924-5226 | |
| (207) 924-5992 |
| Full Name | Northern Light Internal Medicine Dexter |
|---|---|
| Speciality | Internal Medicine |
| Location | 41 High St, Dexter, Maine |
| Authorized Official Name and Position | Marie Vienneau (PRESIDENT) |
| Authorized Official Contact | 2075644251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Light Internal Medicine Dexter 897 W Main St Dover Foxcroft ME 04426-1029 Ph: (207) 924-5226 | Northern Light Internal Medicine Dexter 41 High St Dexter ME 04930-1311 Ph: (207) 924-5226 |
| NPI Number | 1174645931 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 04/23/2020 |
| Medicare PECOS PAC ID | 1355770892 |
|---|---|
| Medicare Enrollment ID | O20200406001125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174645931 | NPI | - | NPPES |
| DC3866 | Other | ME | RAILROAD MEDICARE |
| C22673 | Other | ME | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Northern Light Primary Care Dexter Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 High St, Dexter, ME 04930 Phone: 207-924-7349 Fax: 207-924-5343 | |
Sebasticook Family Doctors Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 29 Church St, Dexter, ME 04930 Phone: 207-924-5200 Fax: 207-924-7325 |