| Patricia J. Phillips, Do, Pa | |
|
10 Forest Falls Dr Suite 11 Yarmouth ME 04096-6936 | |
| (207) 847-9200 | |
| (207) 847-9315 |
| Full Name | Patricia J. Phillips, Do, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 10 Forest Falls Dr, Yarmouth, Maine |
| Authorized Official Name and Position | Patricia J Phillips (PROPRIETOR) |
| Authorized Official Contact | 2078479200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia J. Phillips, Do, Pa 10 Forest Falls Dr Suite 11 Yarmouth ME 04096-6936 Ph: (207) 847-9200 | Patricia J. Phillips, Do, Pa 10 Forest Falls Dr Suite 11 Yarmouth ME 04096-6936 Ph: (207) 847-9200 |
| NPI Number | 1487811881 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 05/22/2008 |
| Medicare PECOS PAC ID | 2264695709 |
|---|---|
| Medicare Enrollment ID | O20120522000744 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487811881 | NPI | - | NPPES |
| 239500000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1166 (Maine) | Primary |
| Provider Name | Patricia J Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518069988 PECOS PAC ID: 3072618529 Enrollment ID: I20070412000214 |
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