Nicole Lew, | |
6 Glen Cove Dr, Rockport, ME 04856-4272 | |
(207) 301-8000 | |
Not Available |
Full Name | Nicole Lew |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 6 Glen Cove Dr, Rockport, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962999292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | BP10064725 (Texas) | Secondary |
207P00000X | Emergency Medicine | T0554 (Texas) | Secondary |
207P00000X | Emergency Medicine | MD24687 (Maine) | Primary |
Entity Name | Mainegeneral Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718 |
Entity Name | Mainehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Mailing Address | Practice Location Address |
---|---|
Nicole Lew, 11126 Timber Crest Dr, Houston, TX 77065-2943 Ph: (972) 762-4153 | Nicole Lew, 6 Glen Cove Dr, Rockport, ME 04856-4272 Ph: (207) 301-8000 |
Bruce B Lowry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6 Glen Cove Dr, Rockport, ME 04856 Phone: 073-018-3332 | |
Dr. William John Zwartjes Jr., M.D.,FACEP,FAAP Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 Glen Cove Dr, Rockport, ME 04856 Phone: 207-596-8000 Fax: 207-593-5288 | |
Dr. John Whitney Randolph, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6 Glen Cove Dr, Rockport, ME 04856 Phone: 207-596-8000 Fax: 207-593-5288 | |
Dr. Mckenzie Shay Savidge, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6 Glen Cove Dr, Rockport, ME 04856 Phone: 207-596-8215 Fax: 207-593-5287 | |
Richard C Chandler, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 Glen Cove Dr, Rockport, ME 04856 Phone: 207-596-8333 | |
Chris John Michalakes, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6 Glen Cove Dr, Penobscot Bay Medical Center, Rockport, ME 04856 Phone: 207-596-8314 | |
Dr. Joseph John Manavola, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 Glen Cove Dr, Rockport, ME 04856 Phone: 207-596-8333 |