Dr Stacy-jo W Jandreau, MD | |
140 Academy St, Presque Isle, ME 04769-3102 | |
(207) 768-4100 | |
(207) 768-4014 |
Full Name | Dr Stacy-jo W Jandreau |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 140 Academy St, Presque Isle, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588680177 | NPI | - | NPPES |
1588680177 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD14812 (Maine) | Primary |
Entity Name | Houlton Regional Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386804268 PECOS PAC ID: 0042127946 Enrollment ID: O20041123000733 |
Entity Name | Emergency Medicine Services Of Maine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578032058 PECOS PAC ID: 1052657616 Enrollment ID: O20190118000889 |
Mailing Address | Practice Location Address |
---|---|
Dr Stacy-jo W Jandreau, MD 140 Academy St, Presque Isle, ME 04769-3102 Ph: (207) 768-4100 | Dr Stacy-jo W Jandreau, MD 140 Academy St, Presque Isle, ME 04769-3102 Ph: (207) 768-4100 |
Dr. Carl Wayne Harris Jr., DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Academy St, Presque Isle, ME 04769 Phone: 207-768-4100 Fax: 207-768-4010 | |
Dr. John A Beaulieu, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Academy St, Presque Isle, ME 04769 Phone: 207-768-4100 | |
Peter C Goth, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Academy St, Presque Isle, ME 04769 Phone: 207-768-4100 Fax: 207-768-4014 |