| Elizabeth B. Pierce, Do, Pa | |
|
10 Forest Falls Dr Stop 11 Yarmouth ME 04096-4900 | |
| (207) 847-9200 | |
| (207) 847-9315 |
| Full Name | Elizabeth B. Pierce, Do, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 10 Forest Falls Dr Stop 11, Yarmouth, Maine |
| Authorized Official Name and Position | Elizabeth B. Pierce (OWNER) |
| Authorized Official Contact | 2078479200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth B. Pierce, Do, Pa 10 Forest Falls Dr Stop 11 Yarmouth ME 04096-4900 Ph: (207) 847-9200 | Elizabeth B. Pierce, Do, Pa 10 Forest Falls Dr Stop 11 Yarmouth ME 04096-4900 Ph: (207) 847-9200 |
| NPI Number | 1760602452 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 09/08/2014 |
| Medicare PECOS PAC ID | 1355385683 |
|---|---|
| Medicare Enrollment ID | O20050616000841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760602452 | NPI | - | NPPES |
| 3054914 | Other | ME | AETNA ID # |
| MM9835 | Other | PTAN | |
| 047545 | Other | ME | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1563 (Maine) | Primary |
| Provider Name | Elizabeth B Pierce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609817055 PECOS PAC ID: 9436193760 Enrollment ID: I20050630000839 |
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