| Kellie Ann P Goudreau, MS, PA-C | |
|
144 State St, Portland, ME 04101-3776 | |
| (207) 879-3000 | |
| Not Available |
| Full Name | Kellie Ann P Goudreau |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 144 State St, Portland, Maine |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235410515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA2012-0052 (New Mexico) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA1775 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Maine Health Care | Biddeford, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Careall Pc | 1052651940 | 8 |
| Mainehealth | 7517860588 | 2109 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Ann P Goudreau, MS, PA-C 144 State St, Portland, ME 04101-3776 Ph: (207) 604-0298 | Kellie Ann P Goudreau, MS, PA-C 144 State St, Portland, ME 04101-3776 Ph: (207) 879-3000 |
Abby Lynn Labrecque, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-8111 Fax: 207-662-8133 | |
Piper Noella Desorcie, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 716 Stevens Ave, Portland, ME 04103 Phone: 207-283-0171 | |
Ms. Lori A Niland, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 22 Bramhall Street, Portland, ME 04102 Phone: 207-662-2934 Fax: 207-662-6389 | |
Diana H Wagman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 33 Sewall St, Portland, ME 04102 Phone: 207-828-2100 | |
Aliyah Rose Murphy, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 716 Stevens Ave, Portland, ME 04103 Phone: 207-283-0171 | |
Meredith Beauregard, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Pavilion 1203, Portland, ME 04102 Phone: 207-662-4618 Fax: 207-662-6254 | |
Mr. Michael G Case, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Free St, Portland, ME 04101 Phone: 207-661-1025 Fax: 207-810-2407 |