Ida M Gammon-wilson, LMT, CBT is a
Massage Therapist based in Farmingdale, Maine. Ida M Gammon-wilson is licensed to practice in Maine (license number ME#MT6) and her current practice location is
690 Maine Ave, Farmingdale, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 622-4062.
NPI number for Ida M Gammon-wilson is 1629090519 and her current mailing address is Po Box 502, Hallowell, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629090519.
Healthcare Provider's Profile
| Full Name | Ida M Gammon-wilson |
|---|
| Gender | Female |
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| Speciality | Massage Therapist |
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| Location | 690 Maine Ave, Farmingdale, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629090519
- Provider Enumeration Date: 07/23/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ida M Gammon-wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629090519 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | ME#MT6 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ida M Gammon-wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ida M Gammon-wilson, LMT, CBT
Po Box 502,
Hallowell, ME 04347-0502
Ph: (207) 622-4062 | Ida M Gammon-wilson, LMT, CBT
690 Maine Ave,
Farmingdale, ME 04344-1539
Ph: (207) 622-4062 |
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