Katherine Dawn Nickerson, OD | |
35 State Hospital Dr, Bangor, ME 04401-8816 | |
(207) 561-3600 | |
Not Available |
Full Name | Katherine Dawn Nickerson |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 9 Years |
Location | 35 State Hospital Dr, Bangor, 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 |
---|---|---|---|
1881079192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT966 (Maine) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Casco Bay Eyecare Llc | 3274620562 | 8 |
Provider Name | Casco Bay Eyecare Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063401693 PECOS PAC ID: 3274620562 Enrollment ID: O20071102000479 |
Mailing Address | Practice Location Address |
---|---|
Katherine Dawn Nickerson, OD 35 State Hospital Dr, Bangor, ME 04401-8816 Ph: (207) 561-3600 | Katherine Dawn Nickerson, OD 35 State Hospital Dr, Bangor, ME 04401-8816 Ph: (207) 561-3600 |
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Dr. Lindsay Michaud, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 35 State Hospital Dr, Bangor, ME 04401 Phone: 207-561-3600 | |
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