| Dignified Medical Care, Llc | |
|
69 Main St Ste 4 Orono ME 04473-4087 | |
| (207) 962-1200 | |
| Not Available |
| Full Name | Dignified Medical Care, Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 11/10/2021 |
| Medicare PECOS PAC ID | 4789083049 |
|---|---|
| Medicare Enrollment ID | O20210519001022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073194049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Meghann L Derosier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861697583 PECOS PAC ID: 0840428710 Enrollment ID: I20140123000116 |
| Provider Name | Kristen Whitney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619603321 PECOS PAC ID: 0547637944 Enrollment ID: I20221027000959 |
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