| Pursuecare Me Llc | |
|
254 Commercial St Ste 245 Portland ME 04101-4899 | |
| (860) 322-6712 | |
| (860) 706-8151 |
| Full Name | Pursuecare Me Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 254 Commercial St Ste 245, Portland, Maine |
| Authorized Official Name and Position | Melissa King (DIRECTOR OF CREDENTIAL & ENROLLMENT) |
| Authorized Official Contact | 8603226712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pursuecare Me Llc 101 Centerpoint Dr Ste 105 Middletown CT 06457-7568 Ph: (860) 322-6712 | Pursuecare Me Llc 254 Commercial St Ste 245 Portland ME 04101-4899 Ph: (860) 322-6712 |
| NPI Number | 1649008962 |
|---|---|
| Provider Enumeration Date | 07/26/2024 |
| Last Update Date | 07/26/2024 |
| Certification Date | 07/26/2024 |
| Medicare PECOS PAC ID | 0941732200 |
|---|---|
| Medicare Enrollment ID | O20241011002828 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649008962 | NPI | - | NPPES |
| Provider Name | Tracy L Souza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861700031 PECOS PAC ID: 5991954620 Enrollment ID: I20121012000312 |
| Provider Name | Shannon Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255785515 PECOS PAC ID: 2163716291 Enrollment ID: I20220105002796 |
| Provider Name | Kathryn Nesbitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346623303 PECOS PAC ID: 8325352180 Enrollment ID: I20221212000892 |
| Provider Name | Carol Cornett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639347594 PECOS PAC ID: 8628145042 Enrollment ID: I20230530002476 |
| Provider Name | Tamara Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972953321 PECOS PAC ID: 1153613310 Enrollment ID: I20231011002254 |
| Provider Name | Tamela Cook-mobley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699216192 PECOS PAC ID: 0143599613 Enrollment ID: I20231016000286 |
| Provider Name | Charles Janssens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740448489 PECOS PAC ID: 0244386613 Enrollment ID: I20231229002198 |
| Provider Name | Jessica Duplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891426334 PECOS PAC ID: 3072980861 Enrollment ID: I20240430001327 |
| Provider Name | Seth Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467683300 PECOS PAC ID: 6507164506 Enrollment ID: I20240625000282 |
| Provider Name | Dhara Shah |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497264220 PECOS PAC ID: 8921542572 Enrollment ID: I20240708000183 |
| Provider Name | Jason Kirby |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1295056281 PECOS PAC ID: 5890932461 Enrollment ID: I20240722003040 |
| Provider Name | Jessica Hyden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518552561 PECOS PAC ID: 7618386723 Enrollment ID: I20240727000720 |
| Provider Name | Erin Elisa Hodge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154875359 PECOS PAC ID: 8729344965 Enrollment ID: I20240821001263 |
| Provider Name | Stacey Lambert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336462936 PECOS PAC ID: 6901240704 Enrollment ID: I20240903002943 |
| Provider Name | Phyllis Mogielski Watson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295909851 PECOS PAC ID: 7315397403 Enrollment ID: I20240911000171 |
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