Kimberly C Clarke, CRNA | |
1 Medical Center Dr, Biddeford, ME 04005-9422 | |
(207) 283-7040 | |
(207) 283-7850 |
Full Name | Kimberly C Clarke |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1 Medical Center Dr, Biddeford, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568549921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R050962 (Maine) | Primary |
Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Entity Name | Southern Maine Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659392819 PECOS PAC ID: 0143208348 Enrollment ID: O20040713001060 |
Mailing Address | Practice Location Address |
---|---|
Kimberly C Clarke, CRNA 1 Medical Center Dr, Biddeford, ME 04005-9422 Ph: (207) 283-7040 | Kimberly C Clarke, CRNA 1 Medical Center Dr, Biddeford, ME 04005-9422 Ph: (207) 283-7040 |
Jaclyn Elizabeth Masters, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Biddeford, ME 04005 Phone: 207-283-7000 | |
Melani M Pene, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Biddeford, ME 04005 Phone: 207-283-7040 Fax: 207-283-7850 | |
Nancy A Quint, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Biddeford, ME 04005 Phone: 207-283-7040 Fax: 207-283-7850 | |
Brendan Patrick Ryan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Biddeford, ME 04005 Phone: 207-283-7000 | |
Boyd A Phillips, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Biddeford, ME 04005 Phone: 207-283-7040 Fax: 207-283-7850 | |
Lora Leigh Manning, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Biddeford, ME 04005 Phone: 207-283-7040 Fax: 207-283-7850 | |
Robert J. Vieto Jr., MSNA, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Biddeford, ME 04005 Phone: 207-283-7000 |