| Raymond Redicare Pc | |
|
1278 Roosevelt Trl Raymond ME 04071-6604 | |
| (207) 655-6181 | |
| Not Available |
| Full Name | Raymond Redicare Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1278 Roosevelt Trl, Raymond, Maine |
| Authorized Official Name and Position | Richard Harry Wilkins (PRESIDENT) |
| Authorized Official Contact | 2076556181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond Redicare Pc 1278 Roosevelt Trl Raymond ME 04071-6604 Ph: (207) 655-6181 | Raymond Redicare Pc 1278 Roosevelt Trl Raymond ME 04071-6604 Ph: (207) 655-6181 |
| NPI Number | 1699187690 |
|---|---|
| Provider Enumeration Date | 05/24/2014 |
| Last Update Date | 05/24/2014 |
| Medicare PECOS PAC ID | 6103142815 |
|---|---|
| Medicare Enrollment ID | O20150224000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699187690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | PA342 (Maine) | Secondary |
| 261Q00000X | Clinic/center | DO2302 (Maine) | Primary |
| Provider Name | Erinn Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003887514 PECOS PAC ID: 2365493624 Enrollment ID: I20050203000382 |
| Provider Name | Richard H Wilkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093985434 PECOS PAC ID: 7012233737 Enrollment ID: I20150224000187 |
| Provider Name | Brittany Nicole Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841718277 PECOS PAC ID: 3072888155 Enrollment ID: I20210819002187 |
John Painter, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Main St, Raymond, ME 04071 Phone: 207-655-3854 Fax: 207-655-2557 |