Eastport Health Care, Inc. - Medicare Primary Care in Eastport, ME

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Eastport Health Care, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Eastport, Maine. The current practice location for Eastport Health Care, Inc. is 30 Boynton St, Eastport, Maine. For appointments, you can reach them via phone at (207) 853-6001. The mailing address for Eastport Health Care, Inc. is Po Box H, Eastport, Maine and phone number is (207) 853-6001.

Eastport Health Care, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1093752917. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (207) 853-6001.

Contact Information

Eastport Health Care, Inc.
30 Boynton St
Eastport
ME 04631-1306
(207) 853-6001
(207) 853-4028

Map and Direction


Primary Care Clinic Profile

Full NameEastport Health Care, Inc.
SpecialityClinic/Center
Location30 Boynton St, Eastport, Maine
Authorized Official Name and PositionEllen Krajewski (EXECUTIVE DIRECTOR)
Authorized Official Contact2078536001
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eastport Health Care, Inc.
Po Box H
Eastport
ME 04631-0909

Ph: (207) 853-6001		Eastport Health Care, Inc.
30 Boynton St
Eastport
ME 04631-1306

Ph: (207) 853-6001

NPI Details:

NPI Number1093752917
Provider Enumeration Date05/31/2006
Last Update Date07/28/2020

Medicare PECOS Information:

Medicare PECOS PAC ID3577592880
Medicare Enrollment IDO20050808000284

Medical Identifiers

Medical identifiers for Eastport Health Care, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093752917NPI-NPPES
108830000MedicaidME
7588080001OtherMEDICARE DME

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Eastport Health Care, Inc. acts as a billing entity for following providers:
Provider NameLaurie A Churchill
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962463224
PECOS PAC ID: 6406820752
Enrollment ID: I20040823000720
Provider NameSusan L Luthin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356383962
PECOS PAC ID: 2961469879
Enrollment ID: I20051115000491
Provider NameAnn E Obrien
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609908052
PECOS PAC ID: 8426081282
Enrollment ID: I20091001000361
Provider NameElliott Jay Wagner
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1558312579
PECOS PAC ID: 7416856745
Enrollment ID: I20130613000642
Provider NameLisa M Jacobs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568554186
PECOS PAC ID: 3870482672
Enrollment ID: I20151002001914
Provider NameAlbert F Hartman
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1790110237
PECOS PAC ID: 4385944503
Enrollment ID: I20151119001900
Provider NamePradheep Jothi Shanker
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1457399818
PECOS PAC ID: 8123030657
Enrollment ID: I20160519001331
Provider NameJordan S Porter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285286591
PECOS PAC ID: 0143659599
Enrollment ID: I20200406001532
Provider NameRobert Phares
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083666598
PECOS PAC ID: 1254323058
Enrollment ID: I20200510000063
Provider NameTiffany Presnell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629472782
PECOS PAC ID: 4183038623
Enrollment ID: I20210125002694
Provider NameKelly Leslie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447896147
PECOS PAC ID: 8729494950
Enrollment ID: I20210311002951
Provider NameMarcia A Kyle
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1932430568
PECOS PAC ID: 6901704345
Enrollment ID: I20220812001181
Provider NameKristina L Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043919038
PECOS PAC ID: 5799140893
Enrollment ID: I20230425000652
Provider NameBryan Franklin Armstrong
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1245554617
PECOS PAC ID: 5597999862
Enrollment ID: I20230804001992
Provider NameElizabeth Anne Mcerlean
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942760137
PECOS PAC ID: 0042636557
Enrollment ID: I20230816000124

Reviews and Comments


Clinic/Center in Eastport, ME


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.