| Penobscot Bay Physicians & Associates | |
|
3 Glen Cove Dr Suite 2 Rockport ME 04856-4232 | |
| (207) 596-8910 | |
| (207) 593-5302 |
| Full Name | Penobscot Bay Physicians & Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 3 Glen Cove Dr, Rockport, Maine |
| Authorized Official Name and Position | Lyn B Faller (DIRECTOR) |
| Authorized Official Contact | 2075968903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Penobscot Bay Physicians & Associates 3 Glen Cove Dr Suite 2 Rockport ME 04856-4232 Ph: (207) 596-8910 | Penobscot Bay Physicians & Associates 3 Glen Cove Dr Suite 2 Rockport ME 04856-4232 Ph: (207) 596-8910 |
| NPI Number | 1497799720 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4981592383 |
|---|---|
| Medicare Enrollment ID | O20040824000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497799720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Kevin Davey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508977323 PECOS PAC ID: 8527041946 Enrollment ID: I20040608000839 |
| Provider Name | Stephanie Lash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821016650 PECOS PAC ID: 6800874868 Enrollment ID: I20040708000124 |
| Provider Name | Gregory P Leather |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285676700 PECOS PAC ID: 3971570102 Enrollment ID: I20040915001177 |
| Provider Name | Bruce Sigsbee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871570838 PECOS PAC ID: 4183686066 Enrollment ID: I20041102001055 |
| Provider Name | Carrie Thackeray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801903406 PECOS PAC ID: 7214989565 Enrollment ID: I20050215000214 |
| Provider Name | Paul B Kluger |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487638177 PECOS PAC ID: 2769424530 Enrollment ID: I20050523001090 |
| Provider Name | Carol E Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407956303 PECOS PAC ID: 5395787048 Enrollment ID: I20050524000387 |
| Provider Name | Barbara Payson Oberg-higgins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780684407 PECOS PAC ID: 8325081102 Enrollment ID: I20050602000643 |
| Provider Name | Robert N Merrill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841320926 PECOS PAC ID: 3173598596 Enrollment ID: I20050613000486 |
| Provider Name | Thomas J O'connor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699872374 PECOS PAC ID: 4183698244 Enrollment ID: I20050628000222 |
| Provider Name | Nichole A Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316058142 PECOS PAC ID: 6305882440 Enrollment ID: I20050629000636 |
| Provider Name | Charles F Kava |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043310931 PECOS PAC ID: 8729052881 Enrollment ID: I20050711000509 |
| Provider Name | Cheryl A Liechty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609845452 PECOS PAC ID: 0244266625 Enrollment ID: I20050718000245 |
| Provider Name | Deirdre Anne Gramas |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467432583 PECOS PAC ID: 0547297848 Enrollment ID: I20050719000366 |
| Provider Name | Richard J Leidinger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073605994 PECOS PAC ID: 4587691282 Enrollment ID: I20050725000816 |
| Provider Name | Mark P Eggena |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235108580 PECOS PAC ID: 9931136488 Enrollment ID: I20050726000888 |
| Provider Name | Jennifer E Guilfoyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922069376 PECOS PAC ID: 9032135421 Enrollment ID: I20051014000425 |
| Provider Name | John W Karod |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578661542 PECOS PAC ID: 8123045622 Enrollment ID: I20051024001003 |
| Provider Name | Gordon Paine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730153958 PECOS PAC ID: 9133146582 Enrollment ID: I20051026000049 |
| Provider Name | Michael S Morse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083702492 PECOS PAC ID: 8123046406 Enrollment ID: I20051104000403 |
| Provider Name | Kristin J Dobbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568564086 PECOS PAC ID: 0840204350 Enrollment ID: I20060203000145 |
| Provider Name | Richard J Kahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982627402 PECOS PAC ID: 9436152410 Enrollment ID: I20060824000172 |
| Provider Name | G Parker Chamberlin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811932726 PECOS PAC ID: 8628973930 Enrollment ID: I20060911000521 |
| Provider Name | Robert W Stein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194704064 PECOS PAC ID: 4284697996 Enrollment ID: I20070205000203 |
| Provider Name | Lydia Richards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376636324 PECOS PAC ID: 0345346961 Enrollment ID: I20070427000393 |
| Provider Name | Lars M Ellison |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114902749 PECOS PAC ID: 1951401827 Enrollment ID: I20070706000014 |
| Provider Name | Denise M Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740486034 PECOS PAC ID: 2466546775 Enrollment ID: I20070918000208 |
| Provider Name | Sarah Dingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730282385 PECOS PAC ID: 1951488717 Enrollment ID: I20080404000206 |
| Provider Name | Robert P Laurence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871603795 PECOS PAC ID: 6608943964 Enrollment ID: I20080929000359 |
| Provider Name | Jeffrey J Landfair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801967922 PECOS PAC ID: 8224197132 Enrollment ID: I20081106000873 |
| Provider Name | Jennifer S Wiley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306846423 PECOS PAC ID: 6305806605 Enrollment ID: I20090209000477 |
| Provider Name | Joseph F Scordino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306056379 PECOS PAC ID: 3971657354 Enrollment ID: I20090819000721 |
| Provider Name | Cornelius Yetman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144415548 PECOS PAC ID: 1153475744 Enrollment ID: I20090916000280 |
| Provider Name | Madeleine R Martindale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689663650 PECOS PAC ID: 3173587771 Enrollment ID: I20100604000329 |
| Provider Name | Jennifer C Mckenna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346328275 PECOS PAC ID: 1355240987 Enrollment ID: I20100716000741 |
| Provider Name | Joan L Stults |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841251113 PECOS PAC ID: 3476746413 Enrollment ID: I20101021001363 |
| Provider Name | Timothy C Obrien |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962441055 PECOS PAC ID: 1557555364 Enrollment ID: I20101104001438 |
| Provider Name | Julie White |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1740206002 PECOS PAC ID: 7214956309 Enrollment ID: I20110201000330 |
| Provider Name | Aoife Redmond-durow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386665479 PECOS PAC ID: 9931104320 Enrollment ID: I20110608000613 |
| Provider Name | Richard Wilson Mellon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770570301 PECOS PAC ID: 3779751383 Enrollment ID: I20110727000062 |
| Provider Name | Laurel Reever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932487121 PECOS PAC ID: 2365613544 Enrollment ID: I20110920000151 |
| Provider Name | Alexandra L Degenhardt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649378829 PECOS PAC ID: 2365478187 Enrollment ID: I20111005000149 |
| Provider Name | Elizabeth Vonfelten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710061395 PECOS PAC ID: 9638152317 Enrollment ID: I20111116000715 |
| Provider Name | Mark Dean Vannorsdall |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336141555 PECOS PAC ID: 3678658499 Enrollment ID: I20120316000005 |
| Provider Name | Kendra Emery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518283530 PECOS PAC ID: 9436320603 Enrollment ID: I20120509000399 |
| Provider Name | Mark A Billington |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194721720 PECOS PAC ID: 3274628490 Enrollment ID: I20130521000382 |
| Provider Name | Kerry A Lavigne |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1700052792 PECOS PAC ID: 6406096163 Enrollment ID: I20130710000010 |
| Provider Name | Thomas M Mitchell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215983473 PECOS PAC ID: 2062570674 Enrollment ID: I20130801000506 |
| Provider Name | Maureen M Sauvage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104187988 PECOS PAC ID: 6406090513 Enrollment ID: I20130911000388 |
| Provider Name | Robert B Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427095280 PECOS PAC ID: 2769494038 Enrollment ID: I20131001000441 |
| Provider Name | Elizabeth A Steward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730501818 PECOS PAC ID: 2769614239 Enrollment ID: I20140416000065 |
| Provider Name | Thomas E Crosslin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376779934 PECOS PAC ID: 5890913891 Enrollment ID: I20140904002675 |
| Provider Name | Jennifer H Goldberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568669919 PECOS PAC ID: 9739361106 Enrollment ID: I20140930000886 |
| Provider Name | Susan L Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639570310 PECOS PAC ID: 0143442491 Enrollment ID: I20141121000040 |
| Provider Name | Eve K Hadley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033552054 PECOS PAC ID: 7012159957 Enrollment ID: I20141231000701 |
| Provider Name | Richard Caesar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538251715 PECOS PAC ID: 6305887738 Enrollment ID: I20150107000172 |
| Provider Name | Erin Monberg |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235114406 PECOS PAC ID: 8224113220 Enrollment ID: I20150116001650 |
| Provider Name | Jenny Barrett-hibl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598157869 PECOS PAC ID: 1456662238 Enrollment ID: I20150619001576 |
| Provider Name | Lynn Garner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376746891 PECOS PAC ID: 5395966568 Enrollment ID: I20150813009602 |
| Provider Name | Lauren F Shumeyko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487037966 PECOS PAC ID: 7315252384 Enrollment ID: I20150819009548 |
| Provider Name | Tawana N Nix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649324294 PECOS PAC ID: 0749304152 Enrollment ID: I20151202001129 |
| Provider Name | Denise Tailby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144288200 PECOS PAC ID: 1759280696 Enrollment ID: I20151210001108 |
| Provider Name | Mary L Moran |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1699729657 PECOS PAC ID: 2264430685 Enrollment ID: I20160106000794 |
| Provider Name | Kristin R Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205110574 PECOS PAC ID: 9436374741 Enrollment ID: I20160526000043 |
| Provider Name | Christina L Falla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043568231 PECOS PAC ID: 2365734431 Enrollment ID: I20160711000703 |
| Provider Name | Charles C Pinkerton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255307773 PECOS PAC ID: 2062584311 Enrollment ID: I20160809000211 |
| Provider Name | Jeffrey Rasmussen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609188200 PECOS PAC ID: 4183939911 Enrollment ID: I20160901001801 |
| Provider Name | Kathleen Philbrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053864462 PECOS PAC ID: 8426346420 Enrollment ID: I20161006001437 |
| Provider Name | Rotchana Hirshberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689910325 PECOS PAC ID: 5294974978 Enrollment ID: I20161024002439 |
| Provider Name | Carrie Ponte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114460078 PECOS PAC ID: 3779864434 Enrollment ID: I20170111002940 |
| Provider Name | Robert K Bailey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568695039 PECOS PAC ID: 4688842362 Enrollment ID: I20170411001883 |
| Provider Name | Cathy Lay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508952037 PECOS PAC ID: 4183623002 Enrollment ID: I20170706001814 |
| Provider Name | Patrick Mitchell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093134306 PECOS PAC ID: 6507137460 Enrollment ID: I20170810002747 |
| Provider Name | Bruce Hoekstra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598725871 PECOS PAC ID: 8426015231 Enrollment ID: I20170817000083 |
| Provider Name | Katherine M Reilly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306258678 PECOS PAC ID: 1850518747 Enrollment ID: I20170907000375 |
| Provider Name | Mohammad Farivar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831136845 PECOS PAC ID: 1355475708 Enrollment ID: I20171004001699 |
| Provider Name | Kirk Patrick Bernadino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871523290 PECOS PAC ID: 6305861196 Enrollment ID: I20180410000314 |
| Provider Name | Margaret Elizabeth Kloby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104144666 PECOS PAC ID: 6901040740 Enrollment ID: I20180418001953 |
| Provider Name | Michelle Suzanne Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659536662 PECOS PAC ID: 5294896544 Enrollment ID: I20180514000226 |
| Provider Name | Holly S Thro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114360856 PECOS PAC ID: 6507096658 Enrollment ID: I20180720000552 |
| Provider Name | Chad J Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770876229 PECOS PAC ID: 5799087953 Enrollment ID: I20180723001684 |
| Provider Name | David Michael Peek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740576073 PECOS PAC ID: 5193048536 Enrollment ID: I20180807002757 |
| Provider Name | Christina A Tennyson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538389127 PECOS PAC ID: 8628136744 Enrollment ID: I20180927003165 |
Robert P Laurence Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 760 Commercial Street, Rockport, ME 04856 Phone: 207-594-5151 Fax: 207-594-2261 | |
Donald J Weaver Md Facp Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Glen Cove Dr, Ste 104, Rockport, ME 04856 Phone: 207-594-7705 Fax: 207-594-0543 | |
Midcoast Medicine, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 195 Union Street, Rockport, ME 04856 Phone: 207-236-2169 Fax: 207-230-0413 | |
Coastal Maine Internal Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 247 Commercial St Ste D, Rockport, ME 04856 Phone: 207-230-8220 Fax: 207-230-8346 | |
Robert N. Merrill, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 Commercial St, Oakland Common, Rockport, ME 04856 Phone: 207-596-7148 | |
Richard J Kahn M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Glen Cove Dr, Suite #105, Rockport, ME 04856 Phone: 207-594-2141 Fax: 207-594-2142 |