Dr Tameta Rosette Clark, MD | |
6307 Gateway Cir, Scarborough, ME 04074-5540 | |
(919) 225-7085 | |
Not Available |
Full Name | Dr Tameta Rosette Clark |
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Gender | Female |
Speciality | Anesthesiology - Pain Medicine |
Location | 6307 Gateway Cir, 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 |
---|---|---|---|
1952571143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | MD24504 (Maine) | Primary |
Entity Name | Center For Pain Management, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962463265 PECOS PAC ID: 0547246555 Enrollment ID: O20040629000496 |
Mailing Address | Practice Location Address |
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Dr Tameta Rosette Clark, MD 6307 Gateway Cir, Scarborough, ME 04074-5540 Ph: (919) 225-7085 | Dr Tameta Rosette Clark, MD 6307 Gateway Cir, Scarborough, ME 04074-5540 Ph: (919) 225-7085 |
Terence Gray, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 400 Enterprise Dr Ste 101, Scarborough, ME 04074 Phone: 207-289-6726 Fax: 207-289-1219 | |
Dr. Gregory Harkins Foos, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 92 Campus Dr Fl 1, Scarborough, ME 04074 Phone: 207-885-0011 | |
Dr. Adam Wesley Owen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 49 Spring St, Scarborough, ME 04074 Phone: 207-885-0011 Fax: 207-885-5851 |