Thomas Wells, | |
25 June St, Sanford, ME 04073-2621 | |
(207) 324-4310 | |
Not Available |
Full Name | Thomas Wells |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 25 June St, Sanford, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588342901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CNP231357 (Maine) | Primary |
Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Mailing Address | Practice Location Address |
---|---|
Thomas Wells, 25 June St, Sanford, ME 04073-2621 Ph: () - | Thomas Wells, 25 June St, Sanford, ME 04073-2621 Ph: (207) 324-4310 |
Ms. Micralyn Denee Wiechman, APRN, FNP-C, ENP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25a June St, Sanford, ME 04073 Phone: 207-490-7900 | |
Caren Kachoris, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 866 Main St, Sanford, ME 04073 Phone: 207-324-9385 | |
Cara Lavertu, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25a June St Ste 111, Sanford, ME 04073 Phone: 207-490-7998 | |
Miranda Corrine Kierstead, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 863 Main St, Sanford, ME 04073 Phone: 800-434-3000 | |
Mr. Seth A Brooker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25a June St Ste 11, Sanford, ME 04073 Phone: 207-490-7900 | |
Stacy L Diperna, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 June St, Sanford, ME 04073 Phone: 207-324-4310 Fax: 207-324-4310 | |
Brooke Butterfield, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25a June St, Sanford, ME 04073 Phone: 207-490-7900 |