Tara Cl Dwelley, CNP | |
136 Mill St, Princeton, ME 04668-3344 | |
(207) 796-5503 | |
(207) 796-5528 |
Full Name | Tara Cl Dwelley |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | 136 Mill St, Princeton, 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 |
---|---|---|---|
1780649137 | NPI | - | NPPES |
431937699 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R049268 (Maine) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Calais Regional Hospital | Calais, ME | Hospital |
Eastern Maine Medical Center | Bangor, ME | Hospital |
Down East Community Hospital | Machias, ME | Hospital |
St Joseph Hospital | Bangor, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Croix Regional Family Health Center | 3577524024 | 9 |
Entity Name | St Croix Regional Family Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831174614 PECOS PAC ID: 3577524024 Enrollment ID: O20041019000977 |
Mailing Address | Practice Location Address |
---|---|
Tara Cl Dwelley, CNP 136 Mill St, Princeton, ME 04668-3344 Ph: (207) 796-5503 | Tara Cl Dwelley, CNP 136 Mill St, Princeton, ME 04668-3344 Ph: (207) 796-5503 |
Michael Swope, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 136 Mill St, Princeton, ME 04668 Phone: 207-796-5503 | |
Sally Johnson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 136 Mill St, Princeton, ME 04668 Phone: 207-796-5503 Fax: 207-796-5528 | |
Janice Marie Small, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 136 Mill St, Princeton, ME 04668 Phone: 207-796-5503 | |
Phylicia Joanne Bonavida, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 136 Mill St, Princeton, ME 04668 Phone: 207-796-5503 |