| Bar Harbor Family Medicine, Llc | |
|
333 Main St Bar Harbor ME 04609-1640 | |
| (503) 863-6868 | |
| (207) 506-5727 |
| Full Name | Bar Harbor Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 333 Main St, Bar Harbor, Maine |
| Authorized Official Name and Position | Oleg Reznik (OWNER) |
| Authorized Official Contact | 5038636868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bar Harbor Family Medicine, Llc 333 Main St Bar Harbor ME 04609-1640 Ph: (503) 863-6868 | Bar Harbor Family Medicine, Llc 333 Main St Bar Harbor ME 04609-1640 Ph: (503) 863-6868 |
| NPI Number | 1457127854 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 0446694012 |
|---|---|
| Medicare Enrollment ID | O20240222001415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457127854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Oleg I Reznik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699780197 PECOS PAC ID: 7618969163 Enrollment ID: I20131001000521 |
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