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592 W Main St Waldoboro ME 04572-6030 | |
(207) 832-6394 | |
(207) 832-4392 |
Full Name | |
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Speciality | Clinic/Center |
Location | 592 W Main St, Waldoboro, Maine |
Authorized Official Name and Position | Lugene Anthony Inzana (ASSOCIATE CFO, MAINEHEALTH) |
Authorized Official Contact | 2076622654 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 745 Newcastle ME 04553-0745 Ph: (207) 563-4146 | 592 W Main St Waldoboro ME 04572-6030 Ph: (207) 832-6394 |
NPI Number | 1962573337 |
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Provider Enumeration Date | 11/10/2006 |
Last Update Date | 10/13/2024 |
Medicare PECOS PAC ID | 7517860588 |
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Medicare Enrollment ID | O20181106000049 |
Identifier | Type | State | Issuer |
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1962573337 | NPI | - | NPPES |
1962573337-001 | Medicaid | ME |
Medomak Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1034 Main St, Waldoboro, ME 04572 Phone: 207-832-5813 Fax: 207-832-3070 |