| Novella Infusion Llc | |
|
94 Auburn St Ste 203 Portland ME 04103-2100 | |
| (207) 747-1181 | |
| (207) 800-4548 |
| Full Name | Novella Infusion Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 94 Auburn St Ste 203, Portland, Maine |
| Authorized Official Name and Position | Robert Amory Thorndike (MANAGER) |
| Authorized Official Contact | 7817245916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novella Infusion Llc 1111b S Governors Ave Ste 3887 Dover DE 19904-6903 Ph: (207) 747-1181 | Novella Infusion Llc 94 Auburn St Ste 203 Portland ME 04103-2100 Ph: (207) 747-1181 |
| NPI Number | 1710683453 |
|---|---|
| Provider Enumeration Date | 02/03/2023 |
| Last Update Date | 07/15/2024 |
| Medicare PECOS PAC ID | 1254742471 |
|---|---|
| Medicare Enrollment ID | O20220912000854 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710683453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Danielle M Skelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538628060 PECOS PAC ID: 7517291081 Enrollment ID: I20190703001205 |
| Provider Name | Megan Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891306817 PECOS PAC ID: 6800207267 Enrollment ID: I20201117000232 |
| Provider Name | Deonna M Dasilva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356926943 PECOS PAC ID: 5092115774 Enrollment ID: I20210617000948 |
| Provider Name | Andrew Wagner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215154018 PECOS PAC ID: 5597817957 Enrollment ID: I20240227004450 |
Daniel Mark Merson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Forest Ave, Portland, ME 04103 Phone: 207-878-5042 Fax: 207-878-5043 | |
John Stanhope Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 Brighton Ave, Portland, ME 04102 Phone: 207-774-2677 Fax: 207-774-5895 | |
City Of Portland Hhs, Phd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 389 Congress St, Room 307, Portland, ME 04101 Phone: 207-874-8784 | |
Michael L. Shuman, M.d.p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Mellen St, Portland, ME 04101 Phone: 207-774-3835 Fax: 207-774-2176 | |
Maine Medical Center Infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-3067 | |
Maurice C. Hothem, Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Auburn St, Portland, ME 04103 Phone: 207-797-4148 Fax: 207-797-5730 | |
Fore River Family Medicine, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 Sewall St, Portland, ME 04102 Phone: 207-772-8823 Fax: 207-772-1856 |