| Be Well My Friend Llc | |
|
174 S Freeport Rd Suite 2a Freeport ME 04032-6145 | |
| (855) 239-3556 | |
| (207) 512-5909 |
| Full Name | Be Well My Friend Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 174 S Freeport Rd, Freeport, Maine |
| Authorized Official Name and Position | Kevin Richard Kenerson (OWNER) |
| Authorized Official Contact | 8552393556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Be Well My Friend Llc 174 S Freeport Rd Suite 2a Freeport ME 04032-6145 Ph: (855) 239-3556 | Be Well My Friend Llc 174 S Freeport Rd Suite 2a Freeport ME 04032-6145 Ph: (855) 239-3556 |
| NPI Number | 1104250158 |
|---|---|
| Provider Enumeration Date | 08/27/2013 |
| Last Update Date | 08/27/2013 |
| Medicare PECOS PAC ID | 6406079342 |
|---|---|
| Medicare Enrollment ID | O20140522001413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104250158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2105 (Maine) | Primary |
| Provider Name | Ann D Tuddenham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679669931 PECOS PAC ID: 7012952393 Enrollment ID: I20050627001205 |
| Provider Name | Michael D Dufresne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568579696 PECOS PAC ID: 1759458185 Enrollment ID: I20080925000741 |
| Provider Name | Kevin R Kenerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043401672 PECOS PAC ID: 9931255031 Enrollment ID: I20090915000210 |
| Provider Name | Angela L Branda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710173133 PECOS PAC ID: 6901075472 Enrollment ID: I20110818000219 |
| Provider Name | Brett D Adell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841521226 PECOS PAC ID: 4587808761 Enrollment ID: I20130910000894 |
| Provider Name | Michael S Hiltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033288378 PECOS PAC ID: 4385871649 Enrollment ID: I20131211001232 |
| Provider Name | Julie Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851762587 PECOS PAC ID: 8820398886 Enrollment ID: I20151123001809 |
| Provider Name | Ashton E Piers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972023927 PECOS PAC ID: 9739450404 Enrollment ID: I20170731001488 |
| Provider Name | Samuel W Moss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194177758 PECOS PAC ID: 8325335318 Enrollment ID: I20200512000471 |
| Provider Name | Kateri C Jeffery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649889874 PECOS PAC ID: 1557771235 Enrollment ID: I20201109001550 |
| Provider Name | Erin Sandy Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467059592 PECOS PAC ID: 9234540089 Enrollment ID: I20201130001040 |
| Provider Name | Jessica Donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285344523 PECOS PAC ID: 7214308428 Enrollment ID: I20230126002016 |
Complete Reimbursement Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Renee Rd, Freeport, ME 04032 Phone: 917-603-2684 | |
Southern Maine Geriatrics Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Marquis Rd, Freeport, ME 04032 Phone: 207-865-6131 Fax: 207-865-9399 | |
Access Health Renewal Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 174 So. Freeport Road, Suite 2a, Freeport, ME 04032 Phone: 207-865-5520 Fax: 866-270-1070 | |
Freeport Family Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 174 S Freeport Rd, Freeport, ME 04032 Phone: 207-865-6113 |