| Regional Medical Center At Lubec | |
|
43 S Lubec Rd Lubec ME 04652-3620 | |
| (207) 733-1090 | |
| (207) 733-4767 |
| Full Name | Regional Medical Center At Lubec |
|---|---|
| Speciality | Clinic/Center |
| Location | 43 S Lubec Rd, Lubec, Maine |
| Authorized Official Name and Position | Marilyn F Hughes (CEO) |
| Authorized Official Contact | 2077335541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regional Medical Center At Lubec 43 S Lubec Rd Lubec ME 04652-3620 Ph: (207) 733-1090 | Regional Medical Center At Lubec 43 S Lubec Rd Lubec ME 04652-3620 Ph: (207) 733-1090 |
| NPI Number | 1740283977 |
|---|---|
| Provider Enumeration Date | 05/23/2005 |
| Last Update Date | 06/29/2021 |
| Medicare PECOS PAC ID | 8224949888 |
|---|---|
| Medicare Enrollment ID | O20040812001504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740283977 | NPI | - | NPPES |
| 167910100 | Medicaid | ME | |
| 4618290001 | Other | ME | MEDICARE DME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | CO1949 (Maine) | Primary |
| Provider Name | Robert Abrams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720067010 PECOS PAC ID: 5193751485 Enrollment ID: I20050708000430 |
| Provider Name | Christine C Moulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588643886 PECOS PAC ID: 9032123567 Enrollment ID: I20060203000263 |
| Provider Name | Tiki Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932659422 PECOS PAC ID: 6709166291 Enrollment ID: I20161129000098 |
| Provider Name | Valerie Porcello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942722723 PECOS PAC ID: 2769758390 Enrollment ID: I20180806001050 |
| Provider Name | Deborah M Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629451802 PECOS PAC ID: 6305195710 Enrollment ID: I20180817002458 |
| Provider Name | Margaret Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477919462 PECOS PAC ID: 3577990852 Enrollment ID: I20200226001249 |
| Provider Name | Mary Beth L Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114532371 PECOS PAC ID: 5395157952 Enrollment ID: I20201229000046 |
| Provider Name | Amy Zipperer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861166985 PECOS PAC ID: 4284023698 Enrollment ID: I20211104002861 |
| Provider Name | Amelia Forman-stiles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053886564 PECOS PAC ID: 7719424720 Enrollment ID: I20240807002719 |
Regional Medical Center At Lubec Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 43 S Lubec Rd, Lubec, ME 04652 Phone: 207-733-5541 Fax: 207-733-4965 | |
Regional Medical Center At Lubec Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 South St, Lubec, ME 04652 Phone: 207-733-5541 |