Freeport Convalescent Center Inc is a medicare enrolled "Skilled Nursing Facility" provider in Freeport, Maine. Their current practice location is
6 Old County Rd, Freeport, Maine. You can reach out to their office (for appointments etc.) via phone at
(207) 865-4782.
Freeport Convalescent Center Inc is licensed to practice in Maine (license number 2005) and it also participates in the medicare program. Freeport Convalescent Center Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1427026657.
Healthcare Provider's Profile
| Full Name | Freeport Convalescent Center Inc |
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| Type | Facility |
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| Speciality | Skilled Nursing Facility |
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| Location | 6 Old County Rd, Freeport, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1427026657
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 06/07/2013
Medicare PECOS Information:
- PECOS PAC ID: 7517109077
- Enrollment ID: O20130813000113
Medical Identifiers
Medical identifiers for Freeport Convalescent Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427026657 | NPI | - | NPPES |
| 120030000 | Medicaid | ME | |
| 120030001 | Medicaid | ME | |
| 115110000 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 2005 (Maine) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 2005 (Maine) | Secondary |
| 261QX0100X | Clinic/center - Occupational Medicine | 2005 (Maine) | Secondary |
| 310400000X | Assisted Living Facility | 2103 (Maine) | Secondary |
| 310500000X | Intermediate Care Facility, Mental Illness | 2103 (Maine) | Secondary |
| 314000000X | Skilled Nursing Facility | 2005 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Freeport Convalescent Center Inc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Freeport Convalescent Center Inc
6 Old County Rd,
Freeport, ME 04032-6231
Ph: (207) 865-4782 | Freeport Convalescent Center Inc
6 Old County Rd,
Freeport, ME 04032-6231
Ph: (207) 865-4782 |
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