Kimberly Dawn Desanctis, | |
430 Franklin St, Rumford, ME 04276-2104 | |
(207) 369-0146 | |
(207) 364-8626 |
Full Name | Kimberly Dawn Desanctis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 430 Franklin St, Rumford, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932614161 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CNP171165 (Maine) | Primary |
Entity Name | Bridgton Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154370153 PECOS PAC ID: 8123919099 Enrollment ID: O20040322000534 |
Entity Name | Central Maine Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441 |
Entity Name | Rumford Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205991122 PECOS PAC ID: 3870583511 Enrollment ID: O20040514000890 |
Entity Name | Rumford Community Family Health Center Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578599775 PECOS PAC ID: 1557340460 Enrollment ID: O20040715000176 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Dawn Desanctis, 430 Franklin St, Rumford, ME 04276-2104 Ph: (207) 369-0146 | Kimberly Dawn Desanctis, 430 Franklin St, Rumford, ME 04276-2104 Ph: (207) 369-0146 |
Carrie Ponte, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Franklin St, Rumford, ME 04276 Phone: 207-369-1000 | |
Mrs. Kaitlin Michelle Knapp, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 Franklin St, Rumford, ME 04276 Phone: 207-364-7831 Fax: 207-369-9467 | |
Marie A Hupper, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35 Hartford St, Rumford, ME 04276 Phone: 207-369-2305 | |
Bethany L M Masse, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 430 Franklin St, Rumford, ME 04276 Phone: 207-369-0146 |