Ms Alison Moore Tetrault, PMHNP-BC | |
17 Bishop St, Portland, ME 04103-2659 | |
(207) 835-0488 | |
(207) 835-0358 |
Full Name | Ms Alison Moore Tetrault |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 17 Bishop St, Portland, Maine |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851935878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0808X | Registered Nurse - Psychiatric/mental Health | 68812 (Maine) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CNP201021 (Maine) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bishop Medical Group Llc | 6800298654 | 3 |
Mainehealth | 7517860588 | 2109 |
Entity Name | Mainehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Entity Name | Bishop Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487256186 PECOS PAC ID: 6800298654 Enrollment ID: O20210715002780 |
Mailing Address | Practice Location Address |
---|---|
Ms Alison Moore Tetrault, PMHNP-BC 17 Bishop St, Portland, ME 04103-2659 Ph: (207) 835-0488 | Ms Alison Moore Tetrault, PMHNP-BC 17 Bishop St, Portland, ME 04103-2659 Ph: (207) 835-0488 |
Ms. Nicole L. Mizner, C.P.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 887 Congress St, Suite 310, Portland, ME 04102 Phone: 207-773-2723 Fax: 207-773-3941 | |
Patricia Mae Wieler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 Congress St, Portland, ME 04102 Phone: 207-773-8161 | |
Ms. Kelly Irene Daly, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 Sewall St Ste 1, Portland, ME 04102 Phone: 207-774-5761 Fax: 207-874-7478 | |
Katharine E Addicott, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2911 Fax: 207-662-6006 | |
Leah Victoria Mahoney, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 66 Bramhall St, Portland, ME 04102 Phone: 207-662-3157 Fax: 207-662-4257 | |
Lucy A Mack, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 161 Marginal Way, Portland, ME 04101 Phone: 207-773-7964 | |
Kathleen J Mongillo, MS,ARNP,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Lancaster Street, Portland, ME 04101 Phone: 207-772-2133 |