Berwick Family Health Center Llc | |
6c School St Berwick ME 03901 | |
(207) 698-7900 | |
(207) 698-7977 |
Full Name | Berwick Family Health Center Llc |
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Speciality | Family Medicine |
Location | 6c School St, Berwick, Maine |
Authorized Official Name and Position | Bradley N Libenson (OWNER AND PROVIDER) |
Authorized Official Contact | 2076987900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Berwick Family Health Center Llc Po Box 719 Berwick ME 03901-0719 Ph: (207) 698-7900 | Berwick Family Health Center Llc 6c School St Berwick ME 03901 Ph: (207) 698-7900 |
NPI Number | 1558431460 |
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Provider Enumeration Date | 11/08/2006 |
Last Update Date | 05/19/2008 |
Medicare PECOS PAC ID | 6406890391 |
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Medicare Enrollment ID | O20050613000132 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558431460 | NPI | - | NPPES |
30202194 | Medicaid | NH | |
174580000 | Medicaid | ME | |
043568 | Other | ME | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Bradley Neal Libenson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548339849 PECOS PAC ID: 2961445143 Enrollment ID: I20050608000757 |
Bowker Chiropractic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3 School St, Unit 102, Berwick, ME 03901 Phone: 603-988-9640 | |
Berwick Walk In Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Dana Dr, Berwick, ME 03901 Phone: 207-698-6700 Fax: 207-698-6709 |