| Jonathan Shill Md Ph.d, Llc | |
|
26 Barnard Ln Kennebunk ME 04043-6714 | |
| (207) 502-7074 | |
| (207) 502-7079 |
| Full Name | Jonathan Shill Md Ph.d, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 26 Barnard Ln, Kennebunk, Maine |
| Authorized Official Name and Position | Jonathan Shill (OWNER/PROVIDER) |
| Authorized Official Contact | 2075027074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Shill Md Ph.d, Llc 26 Barnard Ln Kennebunk ME 04043-6714 Ph: (207) 502-7074 | Jonathan Shill Md Ph.d, Llc 26 Barnard Ln Kennebunk ME 04043-6714 Ph: (207) 502-7074 |
| NPI Number | 1477987683 |
|---|---|
| Provider Enumeration Date | 08/23/2013 |
| Last Update Date | 08/29/2013 |
| Medicare PECOS PAC ID | 7416190939 |
|---|---|
| Medicare Enrollment ID | O20130903000496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477987683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7907 (Maine) | Primary |
| Provider Name | Merrill R Farrand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568494011 PECOS PAC ID: 3971576638 Enrollment ID: I20040819000726 |
| Provider Name | Audrey H Okun Langlais |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194701565 PECOS PAC ID: 2264475813 Enrollment ID: I20050606000569 |
| Provider Name | Katherine J Letourneau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295136356 PECOS PAC ID: 8527346691 Enrollment ID: I20161027001679 |
| Provider Name | Kristin M Farrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235685785 PECOS PAC ID: 2466731666 Enrollment ID: I20161110001527 |
Jonathan Shill Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 Barnard Ln, Kennebunk, ME 04043 Phone: 207-502-7074 Fax: 207-502-7079 | |
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