Mr Jason Carlo Libby, NP | |
100 U.s. Route 1, Scarborough, ME 04074 | |
(207) 283-3640 | |
(207) 883-1506 |
Full Name | Mr Jason Carlo Libby |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Adult Health |
Location | 100 U.s. Route 1, Scarborough, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083724231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 13528 (California) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | AP091035 (Maine) | Primary |
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 |
---|---|
Mr Jason Carlo Libby, NP 100 U.s. Route 1, Scarborough, ME 04074 Ph: (207) 283-3640 | Mr Jason Carlo Libby, NP 100 U.s. Route 1, Scarborough, ME 04074 Ph: (207) 283-3640 |
Heidi M Roy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 96 Campus Drive, Suite 1, Scarborough, ME 04074 Phone: 207-885-9905 Fax: 207-396-5600 | |
Jessica Adelaide Richardson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 92 Campus Dr Ste D, Scarborough, ME 04074 Phone: 207-662-8900 Fax: 207-774-9388 | |
Ms. Heather Tolman Chase, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 96 Campus Dr, Suite 1, Scarborough, ME 04074 Phone: 207-885-9905 Fax: 207-396-5600 | |
Shelby Jeannette Courtois, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 96 Campus Dr, Scarborough, ME 04074 Phone: 207-885-9905 | |
Sarah-louise Elisabeth Corson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Pine Point Rd, Scarborough, ME 04074 Phone: 207-883-4999 | |
Mr. Jamie Lee Theriault, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Campus Dr Unit 108, Scarborough, ME 04074 Phone: 207-303-3300 Fax: 207-250-2139 | |
Gayle L Robinson, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49 Spring St, Scarborough, ME 04074 Phone: 207-883-1414 Fax: 207-883-1518 |