| Hammond Associates Inc | |
|
1250 Forest Ave Ste 301 Portland ME 04103-1884 | |
| (207) 797-8255 | |
| (207) 797-5560 |
| Full Name | Hammond Associates Inc |
|---|---|
| Speciality | Speech-Language Pathologist |
| Location | 1250 Forest Ave Ste 301, Portland, Maine |
| Authorized Official Name and Position | Sara E Hunter (BILLING SPECIALIST) |
| Authorized Official Contact | 2077978255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hammond Associates Inc 1250 Forest Ave Portland ME 04103-1889 Ph: (207) 797-8255 | Hammond Associates Inc 1250 Forest Ave Ste 301 Portland ME 04103-1884 Ph: (207) 797-8255 |
| NPI Number | 1457387904 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Medicare PECOS PAC ID | 4284780156 |
|---|---|
| Medicare Enrollment ID | O20090917000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457387904 | NPI | - | NPPES |
| 616107 | Other | ME | TUFTS GROUP PROVIDER |
| 7623494 | Other | ME | CIGNA GROUP NUMBER |
| 018316 | Other | ME | ANTHEM BLUE CROSS AND BLU |
| 130820100 | Medicaid | ME | |
| AA28449 | Other | ME | HARVARD PILGRIM GROUP |
| 130820000 | Medicaid | ME | |
| 218980 | Other | ME | AETNA GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (Maine) | Primary |
| Provider Name | Shannon C Fowler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821107806 PECOS PAC ID: 1355496316 Enrollment ID: I20090827000580 |
| Provider Name | Travis R Geistert |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558470559 PECOS PAC ID: 8527113588 Enrollment ID: I20090827000589 |
| Provider Name | Mark R Hammond |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1356456248 PECOS PAC ID: 4981759958 Enrollment ID: I20090827000595 |
| Provider Name | Julie Ann Dudley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760637177 PECOS PAC ID: 0648421594 Enrollment ID: I20121127000326 |
| Provider Name | Katelyn Penna Berube |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1093002552 PECOS PAC ID: 6305086711 Enrollment ID: I20130709000022 |
| Provider Name | Kelsey Ann Ketchum |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700308723 PECOS PAC ID: 5193055861 Enrollment ID: I20190923002116 |
| Provider Name | Brittany Vlosich |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1255817201 PECOS PAC ID: 4486075611 Enrollment ID: I20200526002311 |
| Provider Name | Ashley Malmberg |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780349266 PECOS PAC ID: 7517353931 Enrollment ID: I20220411001644 |
| Provider Name | Julia Rose Lachance |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316640105 PECOS PAC ID: 3577924166 Enrollment ID: I20230728002935 |
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