| Kristal Pettengill, OTR-L | |
|
111 Franklin Health Cmns, Farmington, ME 04938-6144 | |
| (207) 779-2620 | |
| Not Available |
| Full Name | Kristal Pettengill |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 111 Franklin Health Cmns, Farmington, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396305975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT2647 (Maine) | Primary |
| Provider Name | Bridgton Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154370153 PECOS PAC ID: 8123919099 Enrollment ID: O20040322000534 |
| Provider Name | Central Maine Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441 |
| Provider Name | Rumford Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205991122 PECOS PAC ID: 3870583511 Enrollment ID: O20040514000890 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristal Pettengill, OTR-L 111 Franklin Health Cmns, Farmington, ME 04938-6144 Ph: (207) 779-2620 | Kristal Pettengill, OTR-L 111 Franklin Health Cmns, Farmington, ME 04938-6144 Ph: (207) 779-2620 |
Paula Despres, MSOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-778-6031 | |
Lacey Beth Cormier, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 119 Livermore Falls Rd, Farmington, ME 04938 Phone: 207-778-6591 | |
Alice L Vanderwerken, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 128 Middle St, Farmington, ME 04938 Phone: 207-778-6469 Fax: 207-778-3486 | |
Courtney Pride, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938 Phone: 207-779-2620 | |
Mrs. Erin Ellen Peters, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Learning Ln, Farmington, ME 04938 Phone: 207-778-9517 | |
Rebecca Atwood, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 119 Livermore Falls Rd, Farmington, ME 04938 Phone: 207-778-6591 |