Ms Heather Elisabeth Bacon, CNM | |
163 Edwards St, Portland, ME 04102-2539 | |
(619) 401-3712 | |
Not Available |
Full Name | Ms Heather Elisabeth Bacon |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 163 Edwards St, Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235261389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC1500X | Registered Nurse - Community Health | 622397 (California) | Secondary |
367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
Entity Name | Healtheast Medical Research Institute |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
Mailing Address | Practice Location Address |
---|---|
Ms Heather Elisabeth Bacon, CNM 163 Edwards St, Portland, ME 04102-2539 Ph: () - | Ms Heather Elisabeth Bacon, CNM 163 Edwards St, Portland, ME 04102-2539 Ph: (619) 401-3712 |
Kristin Ricci, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2911 | |
Jennifer Gilbert, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 527 Ocean Ave, Portland, ME 04103 Phone: 207-871-0666 Fax: 207-347-7151 | |
Holly Ann Christensen, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 195 Fore River Pkwy, Portland, ME 04102 Phone: 207-871-0666 Fax: 207-347-7151 | |
Emily J. Hansen, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 443 Congress St, 2nd Floor, Portland, ME 04101 Phone: 207-797-8881 | |
Amy Harris, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 970 Forest Ave, Portland, ME 04103 Phone: 207-797-8881 | |
Ms. Amy Kogut, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 84 Marginal Way Ste 900, Portland, ME 04101 Phone: 207-874-2445 | |
Julie M Lundman, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 203-889-7831 |