Dignified Medical Care, Llc | |
69 Main St Ste 4 Orono ME 04473-4087 | |
(207) 962-1200 | |
Not Available |
Full Name | Dignified Medical Care, Llc |
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Speciality | Family Medicine |
Location | 69 Main St Ste 4, Orono, Maine |
Authorized Official Name and Position | Meghann L. Derosier (OWNER/PHYSICIAN) |
Authorized Official Contact | 2079621200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dignified Medical Care, Llc 69 Main St Ste 4 Orono ME 04473-4087 Ph: (207) 962-1200 | Dignified Medical Care, Llc 69 Main St Ste 4 Orono ME 04473-4087 Ph: (207) 962-1200 |
NPI Number | 1073194049 |
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Provider Enumeration Date | 04/20/2021 |
Last Update Date | 11/10/2021 |
Medicare PECOS PAC ID | 4789083049 |
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Medicare Enrollment ID | O20210519001022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073194049 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Meghann L Derosier |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861697583 PECOS PAC ID: 0840428710 Enrollment ID: I20140123000116 |
Provider Name | Kristen Whitney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619603321 PECOS PAC ID: 0547637944 Enrollment ID: I20221027000959 |
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