| Michael C Tavares, PMHNP | |
|
181 Corporate Dr, Bangor, ME 04401-4314 | |
| (207) 992-2636 | |
| Not Available |
| Full Name | Michael C Tavares |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 181 Corporate Dr, Bangor, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558089276 | NPI | - | NPPES |
| Entity Name | Lakeview Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316943772 PECOS PAC ID: 3375439904 Enrollment ID: O20040223000324 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael C Tavares, PMHNP Po Box 1599, Bangor, ME 04402-1599 Ph: () - | Michael C Tavares, PMHNP 181 Corporate Dr, Bangor, ME 04401-4314 Ph: (207) 992-2636 |
Diane M Hill, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Northeast Dr, Bangor, ME 04401 Phone: 207-275-3800 Fax: 207-275-3803 | |
Nancy J Fishwick, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 Mckinley St, Bangor, ME 04401 Phone: 207-659-3690 | |
Kathrin G Hastey, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Telcom Dr, Bangor, ME 04401 Phone: 207-947-0147 Fax: 207-990-3365 | |
Judy Splittgerber, PMHNP-BC, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Telcom Dr Fl 2, Bangor, ME 04401 Phone: 207-947-0147 | |
Ms. Constance E Russell, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 268 Stillwater Avenue, Acadia Hospital Corp, Bangor, ME 04401 Phone: 207-973-6100 Fax: 207-973-6109 | |
Maegan L Woodman, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 Telcom Dr Fl 2, Bangor, ME 04401 Phone: 207-947-0147 Fax: 207-990-3365 | |
Mrs. Alexandria Elizabeth Redmond, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 Husson Ave, #2, Bangor, ME 04401 Phone: 207-941-2373 Fax: 207-941-8803 |