| Jan R Whitworth, PAC | |
|
32 Railroad St, Bethel, ME 04217 | |
| (207) 824-2193 | |
| (207) 824-0012 |
| Full Name | Jan R Whitworth |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 32 Railroad St, Bethel, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447214234 | NPI | - | NPPES |
| 307160099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA054 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jan R Whitworth, PAC Po Box 1367, 32 Railroad St, Bethel, ME 04217 Ph: (207) 824-2193 | Jan R Whitworth, PAC 32 Railroad St, Bethel, ME 04217 Ph: (207) 824-2193 |
Jessamy Hathaway, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 32 Railroad St, Bethel, ME 04217 Phone: 207-824-2193 | |
Ms. Meredith Moses, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 32 Railroad Street, Bethel, ME 04217 Phone: 207-824-2193 Fax: 207-824-3005 |