| Sandcastle Clinical And Educational Services | |
|
72 Strawberry Ave Lewiston ME 04240-5952 | |
| (207) 782-2150 | |
| (207) 782-3621 |
| Full Name | Sandcastle Clinical And Educational Services |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 72 Strawberry Ave, Lewiston, Maine |
| Authorized Official Name and Position | Stephanie Gelinas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2077822150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandcastle Clinical And Educational Services 72 Strawberry Ave Lewiston ME 04240-5952 Ph: (207) 782-2150 | Sandcastle Clinical And Educational Services 72 Strawberry Ave Lewiston ME 04240-5952 Ph: (207) 782-2150 |
| NPI Number | 1881714491 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 06/03/2019 |
| Medicare PECOS PAC ID | 7214105394 |
|---|---|
| Medicare Enrollment ID | O20110715000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881714491 | NPI | - | NPPES |
| 040506743 | Other | ME | ANTHEM BLUE CROSS BLUE SH |
| 130080000 | Medicaid | ME |
| Provider Name | Jenna M Palazzolo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1932588431 PECOS PAC ID: 1850677535 Enrollment ID: I20170412000499 |
| Provider Name | Emilee Jane Hudgens |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568088508 PECOS PAC ID: 8820415193 Enrollment ID: I20200901001727 |
| Provider Name | Allyson L. Rainer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1013312636 PECOS PAC ID: 2264755313 Enrollment ID: I20210324000040 |
| Provider Name | Abigail M Possinger |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205406972 PECOS PAC ID: 4183026875 Enrollment ID: I20210719001293 |
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