Nicole Boutaugh, DO | |
300 Main St, Lewiston, ME 04240-7027 | |
(207) 795-7575 | |
Not Available |
Full Name | Nicole Boutaugh |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 11 Years |
Location | 300 Main St, Lewiston, Maine |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144668914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | TP13108 (Maine) | Secondary |
208M00000X | Hospitalist | DO2563 (Maine) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Androscoggin Home Care & Hospice | Lewiston, ME | Hospice |
Beacon Hospice, An Amedisys Company | Auburn, ME | Hospice |
Rumford Hospital | Rumford, ME | Hospital |
Central Maine Medical Center | Lewiston, ME | Hospital |
Montello Manor | Lewiston, ME | Nursing home |
Rumford Community Home | Rumford, ME | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Maine Medical Center | 2567379563 | 346 |
Entity Name | Bridgton Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154370153 PECOS PAC ID: 8123919099 Enrollment ID: O20040322000534 |
Entity Name | Central Maine Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441 |
Entity Name | Rumford Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205991122 PECOS PAC ID: 3870583511 Enrollment ID: O20040514000890 |
Entity Name | Rumford Community Family Health Center Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578599775 PECOS PAC ID: 1557340460 Enrollment ID: O20040715000176 |
Mailing Address | Practice Location Address |
---|---|
Nicole Boutaugh, DO 300 Main St, Lewiston, ME 04240-7027 Ph: (207) 795-7575 | Nicole Boutaugh, DO 300 Main St, Lewiston, ME 04240-7027 Ph: (207) 795-7575 |
Evgeni Kontrient, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 300 Main St, Lewiston, ME 04240 Phone: 207-795-2905 | |
Amanda J Gagnon, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 300 Main St, Lewiston, ME 04240 Phone: 207-662-0111 | |
Dr. Tison Thomas, D.O. Hospitalist Medicare: Medicare Enrolled Practice Location: 93 Campus Ave, Lewiston, ME 04240 Phone: 207-333-4677 Fax: 207-333-4679 |