Mary Ann Gagnon, APRN | |
31 Colcord St, South Berwick, ME 03908-1004 | |
(207) 384-4949 | |
(207) 384-4273 |
Full Name | Mary Ann Gagnon |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 31 Colcord St, South Berwick, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871601948 | NPI | - | NPPES |
3075766 | Medicaid | NH | |
P00991109 | Other | ME | RR MEDICARE |
500022875 | Other | NH | RR MEDICARE |
1871601948 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 029774-23 (New Hampshire) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | CNP81271 (Maine) | Primary |
Entity Name | Wentworth Douglass Physician Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447352430 PECOS PAC ID: 5496749848 Enrollment ID: O20040409000433 |
Mailing Address | Practice Location Address |
---|---|
Mary Ann Gagnon, APRN 789 Central Ave, Dover, NH 03820-2526 Ph: (207) 451-9600 | Mary Ann Gagnon, APRN 31 Colcord St, South Berwick, ME 03908-1004 Ph: (207) 384-4949 |
Caryn M Dunn, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 31 Colcord St, South Berwick, ME 03908 Phone: 207-384-4949 | |
Rita L. Pomerleau, FNPC/ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 57 Portland St, Suite 2a, South Berwick, ME 03908 Phone: 207-384-9212 Fax: 207-384-2008 | |
Jeffrey Allen Eaton, NP, PHD Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 57 Portland St, South Berwick, ME 03908 Phone: 207-384-9212 Fax: 207-384-2008 | |
Sally Naredla, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31 Colcord St, South Berwick, ME 03908 Phone: 207-384-4949 | |
Hannah Joy Macvane, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 57 Portland St, South Berwick, ME 03908 Phone: 207-384-9212 |