Jeremy James Libby, FNP-BC | |
211 Marginal Way, Portland, ME 04101-2467 | |
(207) 544-9355 | |
Not Available |
Full Name | Jeremy James Libby |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 211 Marginal Way, Portland, Maine |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609269315 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CNP151007 (Maine) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health | So portland, ME | Home health agency |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Convenientmd Llc | 2062667033 | 64 |
Convenientmd - Ffs Uc Llc | 5193186492 | 301 |
Entity Name | Convenientmd Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710402359 PECOS PAC ID: 2062667033 Enrollment ID: O20180220000535 |
Entity Name | Careall Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700355567 PECOS PAC ID: 1052651940 Enrollment ID: O20190312001893 |
Entity Name | Convenientmd - Ffs Uc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780375220 PECOS PAC ID: 5193186492 Enrollment ID: O20230803000124 |
Mailing Address | Practice Location Address |
---|---|
Jeremy James Libby, FNP-BC 360 Us Highway 1 Byp Unit 102, Portsmouth, NH 03801-7105 Ph: (603) 410-6700 | Jeremy James Libby, FNP-BC 211 Marginal Way, Portland, ME 04101-2467 Ph: (207) 544-9355 |
Ms. Nicole L. Mizner, C.P.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 887 Congress St, Suite 310, Portland, ME 04102 Phone: 207-773-2723 Fax: 207-773-3941 | |
Patricia Mae Wieler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 Congress St, Portland, ME 04102 Phone: 207-773-8161 | |
Ms. Kelly Irene Daly, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 Sewall St Ste 1, Portland, ME 04102 Phone: 207-774-5761 Fax: 207-874-7478 | |
Katharine E Addicott, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2911 Fax: 207-662-6006 | |
Leah Victoria Mahoney, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 66 Bramhall St, Portland, ME 04102 Phone: 207-662-3157 Fax: 207-662-4257 | |
Lucy A Mack, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 161 Marginal Way, Portland, ME 04101 Phone: 207-773-7964 | |
Kathleen J Mongillo, MS,ARNP,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Lancaster Street, Portland, ME 04101 Phone: 207-772-2133 |