| Casco Medical Group | |
|
535 Ocean Ave Suite 2 - Second Floor Portland ME 04103 | |
| (207) 518-6000 | |
| (207) 518-6001 |
| Full Name | Casco Medical Group |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 535 Ocean Ave, Portland, Maine |
| Authorized Official Name and Position | Charles T Rainville (PRESIDENT) |
| Authorized Official Contact | 2075186041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Casco Medical Group 535 Ocean Ave Suite 2 - Second Floor Portland ME 04103 Ph: (207) 518-6000 | Casco Medical Group 535 Ocean Ave Suite 2 - Second Floor Portland ME 04103 Ph: (207) 518-6000 |
| NPI Number | 1205924594 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 12/01/2014 |
| Medicare PECOS PAC ID | 1951447960 |
|---|---|
| Medicare Enrollment ID | O20091006000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205924594 | NPI | - | NPPES |
| Provider Name | Anne Rainville |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770573024 PECOS PAC ID: 7517901275 Enrollment ID: I20050614000252 |
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