Evergreen Senior Healthcare Of Maine, Llc | |
108 Anthony Ave Augusta ME 04330-8089 | |
(207) 872-8992 | |
(207) 430-3565 |
Full Name | Evergreen Senior Healthcare Of Maine, Llc |
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Speciality | Family Medicine |
Location | 108 Anthony Ave, Augusta, Maine |
Authorized Official Name and Position | Leann Sebrey (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 2075420770 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Evergreen Senior Healthcare Of Maine, Llc 108 Anthony Ave Augusta ME 04330-8089 Ph: (207) 872-8992 | Evergreen Senior Healthcare Of Maine, Llc 108 Anthony Ave Augusta ME 04330-8089 Ph: (207) 872-8992 |
NPI Number | 1841039583 |
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Provider Enumeration Date | 05/22/2024 |
Last Update Date | 05/22/2024 |
Medicare PECOS PAC ID | 0244764223 |
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Medicare Enrollment ID | O20241113002933 |
Identifier | Type | State | Issuer |
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1841039583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Isaiah Meyer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699297648 PECOS PAC ID: 8022383231 Enrollment ID: I20171013000452 |
Provider Name | Susan Renee Folk |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013343342 PECOS PAC ID: 6204062888 Enrollment ID: I20180904003389 |
Provider Name | Marjorie June Hunt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346735032 PECOS PAC ID: 1759625452 Enrollment ID: I20181206002963 |
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