| Corecover, Llc | |
|
16 Atlantic Pl South Portland ME 04106-2316 | |
| (908) 240-3106 | |
| Not Available |
| Full Name | Corecover, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 16 Atlantic Pl, South Portland, Maine |
| Authorized Official Name and Position | Edward J Bilotti (OWNER) |
| Authorized Official Contact | 9082403106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corecover, Llc Po Box 2278 South Portland ME 04116-2278 Ph: (908) 240-3106 | Corecover, Llc 16 Atlantic Pl South Portland ME 04106-2316 Ph: (908) 240-3106 |
| NPI Number | 1386153112 |
|---|---|
| Provider Enumeration Date | 09/25/2017 |
| Last Update Date | 09/25/2017 |
| Medicare PECOS PAC ID | 2264771419 |
|---|---|
| Medicare Enrollment ID | O20190305002487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386153112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD19190 (Maine) | Primary |
| Provider Name | Edward J Bilotti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740344902 PECOS PAC ID: 2466468756 Enrollment ID: I20120816000087 |
| Provider Name | Jonathan Orgel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124753215 PECOS PAC ID: 5799150033 Enrollment ID: I20230419000065 |
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