| Moosabec Medical | |
|
298 Main St Jonesport ME 04649-3345 | |
| (207) 598-9648 | |
| (207) 497-4050 |
| Full Name | Moosabec Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 298 Main St, Jonesport, Maine |
| Authorized Official Name and Position | Breanna Libby (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 2075989648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moosabec Medical 298 Main St Jonesport ME 04649-3345 Ph: (207) 598-9648 | Moosabec Medical 298 Main St Jonesport ME 04649-3345 Ph: (207) 598-9648 |
| NPI Number | 1497459069 |
|---|---|
| Provider Enumeration Date | 03/28/2023 |
| Last Update Date | 12/04/2023 |
| Medicare PECOS PAC ID | 7618320904 |
|---|---|
| Medicare Enrollment ID | O20240202001913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497459069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Secondary |
| Provider Name | Breanna Lea Libby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104344134 PECOS PAC ID: 8426324278 Enrollment ID: I20171023000303 |
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Jonesport-beals Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 298 Main St, Jonesport, ME 04649 Phone: 207-255-6831 Fax: 207-255-6832 | |
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