| Jacqueline D Mast, PT, MSED | |
|
980 Forest Ave, Suite 100, Portland, ME 04103-3388 | |
| (207) 689-6278 | |
| (207) 747-4107 |
| Full Name | Jacqueline D Mast |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Pediatrics |
| Location | 980 Forest Ave, Portland, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588740914 | NPI | - | NPPES |
| 017179 | Other | ME | ANTHEM BCBSME ID |
| 5947274 | Other | ME | AETNA PIN |
| 336900099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | PT677ME (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline D Mast, PT, MSED 94 Rackleff St, Portland, ME 04103-3054 Ph: (207) 689-6278 | Jacqueline D Mast, PT, MSED 980 Forest Ave, Suite 100, Portland, ME 04103-3388 Ph: (207) 689-6278 |
Dr. Samuel Brian Methot, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 331 Veranda St Ste 401, Portland, ME 04103 Phone: 207-536-0702 Fax: 207-536-0785 | |
Alison Glass, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-4892 | |
Rebecca Naomi Lewis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 914-715-0610 | |
Wendy A Richards, MS PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 94 Auburn St, Suite 3, Portland, ME 04103 Phone: 207-797-7578 Fax: 207-797-8165 | |
Gianna Gabrielle Pezzano, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 331 Veranda St Rm 3311, Portland, ME 04103 Phone: 207-536-0702 Fax: 207-536-0785 | |
Dr. Elizabeth Goodrich, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 561 Congress St, Portland, ME 04101 Phone: 207-536-4968 | |
Alliance Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 Veranda St Ste 401, Portland, ME 04103 Phone: 207-536-0702 Fax: 207-536-0785 |