| Intermed, PA | |
|
259 Main St Yarmouth ME 04096-6723 | |
| (207) 846-9013 | |
| (855) 576-4814 |
| Full Name | Intermed, PA |
|---|---|
| Speciality | Family Medicine |
| Location | 259 Main St, Yarmouth, Maine |
| Authorized Official Name and Position | Roger Poitras (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2073472947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intermed, PA 100 Gannett Dr Ste C South Portland ME 04106-5900 Ph: (207) 347-2947 | Intermed, PA 259 Main St Yarmouth ME 04096-6723 Ph: (207) 846-9013 |
| NPI Number | 1992194963 |
|---|---|
| Provider Enumeration Date | 01/14/2015 |
| Last Update Date | 06/10/2026 |
| Certification Date | 06/10/2026 |
| Medicare PECOS PAC ID | 5092605261 |
|---|---|
| Medicare Enrollment ID | O20150328000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992194963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Secondary |
| 225100000X | Physical Therapist | () | Secondary |
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