Graceful Recovery | |
58 Portland Rd Suite 18 Kennebunk ME 04043-6656 | |
(207) 604-5034 | |
Not Available |
Full Name | Graceful Recovery |
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Speciality | Family Medicine |
Location | 58 Portland Rd, Kennebunk, Maine |
Authorized Official Name and Position | Merideth C Norris (OWNER/PROVIDER) |
Authorized Official Contact | 2076045034 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Graceful Recovery 58 Portland Rd Suite 18 Kennebunk ME 04043-6656 Ph: (207) 604-5034 | Graceful Recovery 58 Portland Rd Suite 18 Kennebunk ME 04043-6656 Ph: (207) 604-5034 |
NPI Number | 1376973651 |
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Provider Enumeration Date | 11/22/2013 |
Last Update Date | 03/16/2015 |
Medicare PECOS PAC ID | 0547483455 |
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Medicare Enrollment ID | O20140522000473 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376973651 | NPI | - | NPPES |
280670099 | Medicaid | ME | |
E100136968 | Other | ME | ETAN |
Provider Name | Merideth C Norris |
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Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1386684868 PECOS PAC ID: 2062318371 Enrollment ID: I20031209000203 |
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