Maine Medical Partners Lakes Region Primary Care | |
584 Roosevelt Trl Windham ME 04062-4904 | |
(207) 892-3233 | |
Not Available |
Full Name | Maine Medical Partners Lakes Region Primary Care |
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Speciality | Family Medicine |
Location | 584 Roosevelt Trl, Windham, Maine |
Authorized Official Name and Position | Stephen J Kasabian (PRESIDENT) |
Authorized Official Contact | 2076612000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Maine Medical Partners Lakes Region Primary Care 300 Southborough Dr Suite 201 South Portland ME 04106-6914 Ph: (207) 661-2000 | Maine Medical Partners Lakes Region Primary Care 584 Roosevelt Trl Windham ME 04062-4904 Ph: (207) 892-3233 |
NPI Number | 1144245028 |
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Provider Enumeration Date | 07/13/2006 |
Last Update Date | 12/13/2022 |
Medicare PECOS PAC ID | 9335043967 |
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Medicare Enrollment ID | O20040331000321 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144245028 | NPI | - | NPPES |
30216078 | Medicaid | NH | |
119910010 | Medicaid | ME |
Provider Name | Sheila Gerry Pinette |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801938220 PECOS PAC ID: 4789596487 Enrollment ID: I20031103000194 |
Provider Name | Jeffrey J Aalberg |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669400222 PECOS PAC ID: 4981593860 Enrollment ID: I20040312000277 |
Provider Name | Lisa M Belisle |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629131685 PECOS PAC ID: 0446231591 Enrollment ID: I20040526000161 |
Provider Name | Kristin Jhamb |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598771297 PECOS PAC ID: 6305820143 Enrollment ID: I20040617000904 |
Provider Name | Mark P Bouchard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023040656 PECOS PAC ID: 2567436264 Enrollment ID: I20040819001113 |
Provider Name | Stephen M Donnelly |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1063505782 PECOS PAC ID: 0749222693 Enrollment ID: I20050601000633 |
Provider Name | Tina M Piraino |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841221629 PECOS PAC ID: 8325083892 Enrollment ID: I20050624000459 |
Provider Name | Scott M Chase |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760584007 PECOS PAC ID: 1850336363 Enrollment ID: I20050624000816 |
Provider Name | Paul B Murphy |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871673574 PECOS PAC ID: 9133165327 Enrollment ID: I20050628000812 |
Provider Name | Eugene P Paluso |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730110586 PECOS PAC ID: 6204872799 Enrollment ID: I20050706000916 |
Provider Name | Stephen R Hayes |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255369575 PECOS PAC ID: 9133156276 Enrollment ID: I20050720000972 |
Provider Name | Elizabeth T Goodie |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861615593 PECOS PAC ID: 1658308366 Enrollment ID: I20050725000957 |
Provider Name | Marie Pedersen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033234224 PECOS PAC ID: 8022049766 Enrollment ID: I20050823000531 |
Provider Name | Donald J Medd |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902810294 PECOS PAC ID: 3870528136 Enrollment ID: I20051005000806 |
Provider Name | Steven E Feder |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1952397572 PECOS PAC ID: 5890717565 Enrollment ID: I20051221000784 |
Provider Name | Kristen B Silvia |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538103478 PECOS PAC ID: 3779580139 Enrollment ID: I20061026000445 |
Provider Name | Melanie P Fitzsimmons |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700953015 PECOS PAC ID: 1456452234 Enrollment ID: I20070724000076 |
Provider Name | Stacey M Ouellette |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508979774 PECOS PAC ID: 8123115011 Enrollment ID: I20071024000279 |
Provider Name | Emily B Cashman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447448436 PECOS PAC ID: 5890878748 Enrollment ID: I20080215000036 |
Provider Name | Jill M Kerekes |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992728323 PECOS PAC ID: 6507897907 Enrollment ID: I20080225000138 |
Provider Name | Robert A Sturges |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902992142 PECOS PAC ID: 1355421082 Enrollment ID: I20080911000554 |
Provider Name | John F Goodrich |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1356491641 PECOS PAC ID: 7911064506 Enrollment ID: I20090326000162 |
Provider Name | Fred E Emerson |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1487722278 PECOS PAC ID: 7113079799 Enrollment ID: I20090713000107 |
Provider Name | Amy N Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063745735 PECOS PAC ID: 0143361907 Enrollment ID: I20091231000120 |
Provider Name | Donna C Kim |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194897801 PECOS PAC ID: 1557541836 Enrollment ID: I20110203000194 |
Provider Name | Ellis A Johnson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215196985 PECOS PAC ID: 7113196064 Enrollment ID: I20110809000905 |
Provider Name | Nicoleta Toma |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881823391 PECOS PAC ID: 2860640646 Enrollment ID: I20120920000127 |
Provider Name | Caitlin E Willard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912227604 PECOS PAC ID: 0648404335 Enrollment ID: I20140402001990 |
Provider Name | Nora Gross |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861773749 PECOS PAC ID: 1052536356 Enrollment ID: I20140630000952 |
Provider Name | Benjamin Paul Hagopian |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184919193 PECOS PAC ID: 0143454959 Enrollment ID: I20140710000995 |
Provider Name | Amanda K Powell |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790005742 PECOS PAC ID: 3072739010 Enrollment ID: I20140728000906 |
Provider Name | Katelyn Mp Lovely |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922383330 PECOS PAC ID: 0446405815 Enrollment ID: I20140818001851 |
Provider Name | Nicole M Sawyer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275931388 PECOS PAC ID: 3274846431 Enrollment ID: I20150716001644 |
Provider Name | Anastasia R Norman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073833703 PECOS PAC ID: 8022242791 Enrollment ID: I20150717001944 |
Provider Name | Jonathan C Fellers |
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Provider Type | Practitioner - Neuropsychiatry |
Provider Identifiers | NPI Number: 1508091281 PECOS PAC ID: 6608021332 Enrollment ID: I20150831000427 |
Provider Name | Emily J Martin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609246834 PECOS PAC ID: 7214238997 Enrollment ID: I20151222002314 |
Provider Name | Elizabeth Wp Sherlock |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952497430 PECOS PAC ID: 3072807916 Enrollment ID: I20160816000273 |
Provider Name | Eliza R Bullis |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518257682 PECOS PAC ID: 0244544922 Enrollment ID: I20160921000492 |
Provider Name | Katherine T Liu |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1891056149 PECOS PAC ID: 1557595337 Enrollment ID: I20161018000417 |
Provider Name | Elizabeth Kasny Sundborg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750835377 PECOS PAC ID: 0446548424 Enrollment ID: I20170405001582 |
Provider Name | John L Daggett |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1881006831 PECOS PAC ID: 9739486259 Enrollment ID: I20170508001244 |
Provider Name | Evan M Barnathan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558773994 PECOS PAC ID: 9537385570 Enrollment ID: I20170818000300 |
Provider Name | Margaret W Curran |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891181285 PECOS PAC ID: 9032422613 Enrollment ID: I20180605001983 |
Provider Name | Heidi Walls |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902291446 PECOS PAC ID: 1153635198 Enrollment ID: I20181029001587 |
Provider Name | Hadjh T Ahrns |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568606713 PECOS PAC ID: 3779726369 Enrollment ID: I20190314000956 |
Provider Name | Nathalie K Davidson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881090629 PECOS PAC ID: 8527381789 Enrollment ID: I20190425002527 |
Provider Name | Devan Cole Lucier |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811376072 PECOS PAC ID: 9032421953 Enrollment ID: I20191018002649 |
Provider Name | Marc D Kimball |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467815274 PECOS PAC ID: 6608162953 Enrollment ID: I20191108001186 |
Provider Name | Volha A Grant |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013548650 PECOS PAC ID: 6507294394 Enrollment ID: I20200309002275 |
Provider Name | Kellee F Gorgone |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588289961 PECOS PAC ID: 8628495710 Enrollment ID: I20200903002556 |
Provider Name | Lauren H Buoncristiano |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740896901 PECOS PAC ID: 8820401391 Enrollment ID: I20201231000620 |
Provider Name | Monica P Schoenbaum |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922685403 PECOS PAC ID: 8628479458 Enrollment ID: I20210630001097 |
Provider Name | Anna M Brewer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376116053 PECOS PAC ID: 6709283534 Enrollment ID: I20210922000367 |
Provider Name | Catelin E Geiser |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568116804 PECOS PAC ID: 2365836459 Enrollment ID: I20220307002186 |
Provider Name | Kelly A Waldroup |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699436758 PECOS PAC ID: 2163809690 Enrollment ID: I20220521000309 |
Provider Name | Arianna Cortesi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689178592 PECOS PAC ID: 8729469853 Enrollment ID: I20220720001308 |
Provider Name | James Bohnhoff |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1194188045 PECOS PAC ID: 5395088652 Enrollment ID: I20220830001571 |
Provider Name | Christine R Mahoney |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851551097 PECOS PAC ID: 8426220708 Enrollment ID: I20230703002625 |
Maine Medical Partners Lakes Region Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 584 Roosevelt Trl, Windham, ME 04062 Phone: 207-892-3233 Fax: 207-893-0752 | |
Moore Chiropractic Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 936 Roosevelt Trl, Windham, ME 04062 Phone: 207-892-8356 Fax: 207-892-1644 | |
Carl J. Schuler Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 744 Roosevelt Trl, Windham, ME 04062 Phone: 207-892-7006 Fax: 207-892-2092 | |
Nulife Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 759 Roosevelt Trl, Windham, ME 04062 Phone: 207-514-3562 | |
Northern Light Mercy Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 409 Roosevelt Trl, Windham, ME 04062 Phone: 207-400-8618 | |
Sebago Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Tandberg Trl Ste G, Windham, ME 04062 Phone: 207-595-8756 |