Eileen L Smith Porter, RD | |
489 State St, Cardiac Wellness @ Emmc, 2 Kagan Bldg, Bangor, ME 04401-6616 | |
(207) 973-7218 | |
Not Available |
Full Name | Eileen L Smith Porter |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 489 State St, Bangor, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477784726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | DI260 (Maine) | Primary |
Provider Name | Eastern Maine Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088 |
Mailing Address | Practice Location Address |
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Eileen L Smith Porter, RD 43 Whiting Hill Rd, Suite 300, Brewer, ME 04412-1005 Ph: (207) 973-5035 | Eileen L Smith Porter, RD 489 State St, Cardiac Wellness @ Emmc, 2 Kagan Bldg, Bangor, ME 04401-6616 Ph: (207) 973-7218 |
Lauri Jacobs, RD,CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 905 Union St, Suite 11, Bangor, ME 04401 Phone: 207-973-7334 Fax: 207-973-7424 | |
Rd 207, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6 State St Ste 607, Bangor, ME 04401 Phone: 207-460-0550 | |
Mikiko Demura Marzilli, MS LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 905 Union St, Suite 11, Bangor, ME 04401 Phone: 207-973-7364 | |
Mellisa A Bernardini, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 6 Telcom Dr, Bangor, ME 04401 Phone: 207-947-0147 Fax: 207-990-3365 | |
Ms. Emily Mae Lavertu, MS LD Dietitian Medicare: Medicare Enrolled Practice Location: 905 Union St Ste 11, Bangor, ME 04401 Phone: 207-973-4940 | |
Katherine Anne Lachance, TLD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 905 Union St, Suite 11, Bangor, ME 04401 Phone: 207-973-7334 Fax: 207-973-7424 | |
Ms. Elaina Hopkins, REGISTERED DIETICIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 103 Texas Ave, Bangor, ME 04401 Phone: 207-947-4557 |