Central Maine Clinical Associates Corporation | |
364 Main Street Lewiston ME 04240 | |
(207) 795-5709 | |
(207) 795-7193 |
Full Name | Central Maine Clinical Associates Corporation |
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Speciality | Family Medicine |
Location | 364 Main Street, Lewiston, Maine |
Authorized Official Name and Position | Susan Morin (MANAGER) |
Authorized Official Contact | 2077955709 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Central Maine Clinical Associates Corporation 364 Main Street Lewiston ME 04240 Ph: (207) 795-5709 | Central Maine Clinical Associates Corporation 364 Main Street Lewiston ME 04240 Ph: (207) 795-5709 |
NPI Number | 1356676688 |
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Provider Enumeration Date | 10/05/2009 |
Last Update Date | 08/11/2010 |
Medicare PECOS PAC ID | 1850321811 |
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Medicare Enrollment ID | O20050818000910 |
Identifier | Type | State | Issuer |
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1356676688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Eric J Caccamo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023080546 PECOS PAC ID: 1759341134 Enrollment ID: I20041012000507 |
Provider Name | Carol L Harrington |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558423913 PECOS PAC ID: 6608812771 Enrollment ID: I20050629000857 |
Provider Name | Christopher Sacco |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1841300837 PECOS PAC ID: 8628014107 Enrollment ID: I20050706000861 |
Provider Name | Lisa K Keiski |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558349662 PECOS PAC ID: 5597784744 Enrollment ID: I20051116000724 |
Provider Name | Therese White |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1124136908 PECOS PAC ID: 1355383100 Enrollment ID: I20060104000247 |
Provider Name | Daniel A Jackson |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1215950506 PECOS PAC ID: 3779599428 Enrollment ID: I20060303000665 |
Provider Name | Jeremy Nash |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205903457 PECOS PAC ID: 2163422965 Enrollment ID: I20061229000198 |
Provider Name | Jennifer E Tooley |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992836555 PECOS PAC ID: 6507960267 Enrollment ID: I20070406000113 |
Provider Name | Scott N Dening |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952597916 PECOS PAC ID: 9739248170 Enrollment ID: I20081030000302 |
Provider Name | Heidi G Dening |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043406929 PECOS PAC ID: 3678639663 Enrollment ID: I20090226000406 |
Provider Name | Tracy S S Riggins |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831407881 PECOS PAC ID: 5092903948 Enrollment ID: I20101220000964 |
Provider Name | Charles Foley |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1871574715 PECOS PAC ID: 9830171818 Enrollment ID: I20110503000686 |
Provider Name | Michael A Ricci |
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Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1326010695 PECOS PAC ID: 3678522067 Enrollment ID: I20120627000483 |
Provider Name | Jennifer Gillies |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316204480 PECOS PAC ID: 9931352093 Enrollment ID: I20130123000574 |
Provider Name | Kathleen A Harper |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1770542706 PECOS PAC ID: 4183792674 Enrollment ID: I20130925000477 |
Provider Name | Rebecca Greenleaf |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164782819 PECOS PAC ID: 0446483762 Enrollment ID: I20140512000693 |
Provider Name | Rhonda Norton |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124095351 PECOS PAC ID: 8426378266 Enrollment ID: I20150519002217 |
Provider Name | Benjamin W Ellis |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477957801 PECOS PAC ID: 2567773583 Enrollment ID: I20150617002401 |
Provider Name | Lauren E Blais |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518327576 PECOS PAC ID: 0446557730 Enrollment ID: I20160331002196 |
Provider Name | Cora Reny |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275995060 PECOS PAC ID: 4385943208 Enrollment ID: I20160427002204 |
Provider Name | Stephanie Arey |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013223460 PECOS PAC ID: 0244539542 Enrollment ID: I20160506001633 |
Provider Name | Stephen Paul Knowlton |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902274905 PECOS PAC ID: 9830480524 Enrollment ID: I20160628001561 |
Provider Name | Alan Mitchell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528236437 PECOS PAC ID: 2365735248 Enrollment ID: I20160729001863 |
Provider Name | Emily Clark |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861947442 PECOS PAC ID: 5890082515 Enrollment ID: I20160923001568 |
Provider Name | Megan Anderson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164821658 PECOS PAC ID: 8325336118 Enrollment ID: I20161011001704 |
Provider Name | Sean D Stanhope |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1144511528 PECOS PAC ID: 2466696893 Enrollment ID: I20161014001398 |
Provider Name | Katharine B Mcnutt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457806671 PECOS PAC ID: 3173804911 Enrollment ID: I20170110000807 |
Provider Name | Danielle C Stout |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306380472 PECOS PAC ID: 3971885336 Enrollment ID: I20170119000286 |
Provider Name | Clancy J Erickson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821503129 PECOS PAC ID: 9931461266 Enrollment ID: I20180326000530 |
Provider Name | Laura P Farris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003242678 PECOS PAC ID: 2163656562 Enrollment ID: I20191108002181 |
Provider Name | Susan Jennie Mccarthy |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215349782 PECOS PAC ID: 5395067532 Enrollment ID: I20200302000372 |
Provider Name | John F Livecchi |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588183933 PECOS PAC ID: 6406279470 Enrollment ID: I20200709000721 |
Provider Name | Brittany Ann Bennett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083227664 PECOS PAC ID: 4183034507 Enrollment ID: I20201112003329 |
Provider Name | Karen Stockman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528124591 PECOS PAC ID: 3274690045 Enrollment ID: I20201120002203 |
Provider Name | Michael Martin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396727574 PECOS PAC ID: 2769663475 Enrollment ID: I20201123000081 |
Provider Name | Shayna Piedimonte |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457575102 PECOS PAC ID: 3678647070 Enrollment ID: I20210122002453 |
Provider Name | Sarah Mclintock |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003306556 PECOS PAC ID: 1557770781 Enrollment ID: I20210429001015 |
Provider Name | Darci Williams |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922567767 PECOS PAC ID: 8527309897 Enrollment ID: I20211206001883 |
Provider Name | Kayla Marie Flaherty |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639821978 PECOS PAC ID: 3274910435 Enrollment ID: I20220510001447 |
Provider Name | Christine Gonzales |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013434059 PECOS PAC ID: 8426315540 Enrollment ID: I20221018002520 |
Provider Name | Benjamin Darden Smith |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1710341631 PECOS PAC ID: 0840534152 Enrollment ID: I20230104000064 |
Provider Name | Matthew Birchak |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467805242 PECOS PAC ID: 2860780301 Enrollment ID: I20230404000927 |
Provider Name | Benjamin Morris |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891288361 PECOS PAC ID: 4981956083 Enrollment ID: I20230427001593 |
Lewiston High School Based Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 156 East Ave, Lewiston, ME 04240 Phone: 207-795-4144 Fax: 207-795-4147 | |
Ccs Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Sabattus St, Suite B, Lewiston, ME 04240 Phone: 207-755-3160 Fax: 207-755-3166 | |
Community Clinical Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 57 Birch St Ste 102, Lewiston, ME 04240 Phone: 207-753-5400 Fax: 207-786-0489 | |
Lewiston Middle School Based Health Center - Psych Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Central Ave, Lewiston, ME 04240 Phone: 207-795-4180 Fax: 207-753-6419 | |
Lewiston Middle School Based Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 75 Central Ave, Lewiston, ME 04240 Phone: 207-795-4180 Fax: 207-753-6419 | |
Ccs Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Campus Ave Ste 104, Lewiston, ME 04240 Phone: 207-755-3445 Fax: 207-755-3475 |