Suzanne Farnham, | |
175 Us Route 1, Scarborough, ME 04074-9048 | |
(207) 396-7000 | |
(207) 396-7000 |
Full Name | Suzanne Farnham |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 175 Us Route 1, Scarborough, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1295185932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | DI1194 (Maine) | Primary |
Provider Name | Maine Medical Partners |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447354899 PECOS PAC ID: 9335043967 Enrollment ID: O20040330000128 |
Provider Name | Mainehealth |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Mailing Address | Practice Location Address |
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Suzanne Farnham, 190 Riverside St, Suite 6b, Portland, ME 04103-1073 Ph: (207) 661-2000 | Suzanne Farnham, 175 Us Route 1, Scarborough, ME 04074-9048 Ph: (207) 396-7000 |
H2o Fitness Collaborative Llc Dietitian Medicare: Medicare Enrolled Practice Location: 245 Gorham Rd, Scarborough, ME 04074 Phone: 802-734-7544 | |
Mrs. Kristen Alexis Grimes, MS, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 175 Us Route 1, Scarborough, ME 04074 Phone: 207-396-7700 | |
Susanne D'angelo-cooley, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 175 Us Route 1, Scarborough, ME 04074 Phone: 207-885-7700 Fax: 207-885-7701 | |
Kelly Falone, Dietitian Medicare: Medicare Enrolled Practice Location: 92 Campus Dr, Ste B, Scarborough, ME 04074 Phone: 207-662-5143 | |
Maine Medical Partners Endocrinlogy & Diabetes Dietitian Medicare: Not Enrolled in Medicare Practice Location: 175 Us Route 1, Scarborough, ME 04074 Phone: 207-885-7700 Fax: 207-885-7701 | |
Alexis J Jones, Dietitian Medicare: Medicare Enrolled Practice Location: 27 Gorham Road, Suite 201 Mailbox #6, Scarborough, ME 04074 Phone: 207-749-9553 Fax: 877-743-5351 |