Mr Christopher James Clark, DO | |
1 Va Ctr, Augusta, ME 04330-6795 | |
(800) 698-2411 | |
Not Available |
Full Name | Mr Christopher James Clark |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1 Va Ctr, Augusta, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770084634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 0551 (South Dakota) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 18809 (North Dakota) | Primary |
Entity Name | Psj Acquisition Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679709802 PECOS PAC ID: 7012062235 Enrollment ID: O20090918000240 |
Mailing Address | Practice Location Address |
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Mr Christopher James Clark, DO 4400 W 69th St, Sioux Falls, SD 57108-8170 Ph: (605) 322-5737 | Mr Christopher James Clark, DO 1 Va Ctr, Augusta, ME 04330-6795 Ph: (800) 698-2411 |
Ms. Regana Contini Sisson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 250 Arsenal St, Augusta, ME 04333 Phone: 207-624-3981 Fax: 207-287-7354 | |
Alan P Neuren, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 250 Arsenal St, 11 Shs, Augusta, ME 04333 Phone: 207-624-4657 Fax: 207-287-6123 | |
Aaron Greenwald, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1 Va Ctr, Augusta, ME 04330 Phone: 207-623-8411 | |
Dr. William H Nelson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 250 Arsenal St, 11 Shs, Augusta, ME 04333 Phone: 207-624-4658 Fax: 207-287-6123 | |
Anthony S Pakiam, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 56 Winthrop St, Augusta, ME 04330 Phone: 207-626-0481 Fax: 207-622-6078 | |
Stephen Michael Hart, PMHNP Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1 Va Ctr, Augusta, ME 04330 Phone: 207-623-8411 | |
Ovidiu Dan Rivis, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 66 Stone St, Augusta, ME 04330 Phone: 207-626-3455 Fax: 207-626-3612 |