| Whiting Bay Family Medicine, Pa | |
|
125 Us Route 1 Whiting ME 04691 | |
| (207) 733-2900 | |
| (207) 733-2866 |
| Full Name | Whiting Bay Family Medicine, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 125 Us Route 1, Whiting, Maine |
| Authorized Official Name and Position | Pat A. Godin (OFFICE MANAGER) |
| Authorized Official Contact | 2077332900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whiting Bay Family Medicine, Pa Po Box 108 Whiting ME 04691-0108 Ph: (207) 733-2900 | Whiting Bay Family Medicine, Pa 125 Us Route 1 Whiting ME 04691 Ph: (207) 733-2900 |
| NPI Number | 1568674232 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 12/01/2011 |
| Medicare PECOS PAC ID | 5698781714 |
|---|---|
| Medicare Enrollment ID | O20071218000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568674232 | NPI | - | NPPES |
| 080170735 | Other | ME | RAILROAD MEDICARE |
| 025951 | Other | ME | ANTHEM BCBS |
| 610130001 | Other | ME | CIGNA |
| F14082 | Other | ME | HARVARD PILGRIM |
| 098154 | Other | ME | AETNA |
| 132790000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 013026 (Maine) | Primary |
| Provider Name | Julia A Arnold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629149133 PECOS PAC ID: 1658316807 Enrollment ID: I20050628000356 |