Seaport Village Skilled Nursing Center Llc is a medicare enrolled "Skilled Nursing Facility" provider in Ellsworth, Maine. Their current practice location is
19 General Moore Way, Ellsworth, Maine. You can reach out to their office (for appointments etc.) via phone at
(207) 667-9336.
Seaport Village Skilled Nursing Center Llc is licensed to practice in Maine (license number 36555) and it also participates in the medicare program. Seaport Village Skilled Nursing Center Llc
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 1558351841.
Healthcare Provider's Profile
Full Name | Seaport Village Skilled Nursing Center Llc |
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Type | Facility |
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Speciality | Skilled Nursing Facility |
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Location | 19 General Moore Way, Ellsworth, Maine |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558351841
- Provider Enumeration Date: 10/27/2005
- Last Update Date: 11/19/2014
Medicare PECOS Information:
- PECOS PAC ID: 5991926818
- Enrollment ID: O20141017001891
Medical Identifiers
Medical identifiers for Seaport Village Skilled Nursing Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558351841 | NPI | - | NPPES |
104690000 | Medicaid | ME | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 36346 (Maine) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | 36346 (Maine) | Secondary |
261QX0100X | Clinic/center - Occupational Medicine | 36346 (Maine) | Secondary |
314000000X | Skilled Nursing Facility | 36555 (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. Seaport Village Skilled Nursing Center Llc 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 |
Seaport Village Skilled Nursing Center Llc 19 General Moore Way, Ellsworth, ME 04605-1806 Ph: (207) 667-9336 | Seaport Village Skilled Nursing Center Llc 19 General Moore Way, Ellsworth, ME 04605-1806 Ph: (207) 667-9336 |
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