| Rangeley Family Medicine | |
|
42 Dallas Hill Rd Rangeley ME 04970 | |
| (207) 864-3303 | |
| (207) 864-2969 |
| Full Name | Rangeley Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 42 Dallas Hill Rd, Rangeley, Maine |
| Authorized Official Name and Position | Constance R Coggins (PRESIDENT/CEO) |
| Authorized Official Contact | 2078613407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rangeley Family Medicine Po Box 569 42 Dallas Hill Road Rangeley ME 04970 Ph: (207) 864-3947 | Rangeley Family Medicine 42 Dallas Hill Rd Rangeley ME 04970 Ph: (207) 864-3303 |
| NPI Number | 1497729750 |
|---|---|
| Provider Enumeration Date | 02/14/2006 |
| Last Update Date | 07/07/2008 |
| Medicare PECOS PAC ID | 5496726523 |
|---|---|
| Medicare Enrollment ID | O20050830000804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497729750 | NPI | - | NPPES |
| 137970110 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | E58728 (Maine) | Primary |
| Provider Name | Lois C Hamel Corson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730135039 PECOS PAC ID: 4880650613 Enrollment ID: I20041203000464 |
| Provider Name | Cynthia R Robertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316911787 PECOS PAC ID: 7012952278 Enrollment ID: I20050628000443 |
| Provider Name | Nancy J Cooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346282233 PECOS PAC ID: 2668484965 Enrollment ID: I20060706000042 |
| Provider Name | Roy Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700854361 PECOS PAC ID: 9032306212 Enrollment ID: I20101214000796 |
| Provider Name | Diane Zavotsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023128261 PECOS PAC ID: 8123099215 Enrollment ID: I20141104001286 |
| Provider Name | Angela Kristoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124570833 PECOS PAC ID: 3375825706 Enrollment ID: I20170120000081 |
| Provider Name | Crystal J. Yokley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316274632 PECOS PAC ID: 0749319705 Enrollment ID: I20200825002908 |
| Provider Name | Kathryn Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720084213 PECOS PAC ID: 1850357104 Enrollment ID: I20210503002172 |