| Vantage Healthcare Inc | |
|
9 Lewis Rd Kittery ME 03904-5410 | |
| (781) 867-2050 | |
| Not Available |
| Full Name | Vantage Healthcare Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9 Lewis Rd, Kittery, Maine |
| Authorized Official Name and Position | Vishal Kuchaculla (OWNER) |
| Authorized Official Contact | 7818672050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vantage Healthcare Inc 45 Dan Rd Canton MA 02021-2852 Ph: (781) 867-2050 | Vantage Healthcare Inc 9 Lewis Rd Kittery ME 03904-5410 Ph: (781) 867-2050 |
| NPI Number | 1386474625 |
|---|---|
| Provider Enumeration Date | 08/02/2024 |
| Last Update Date | 09/16/2024 |
| Medicare PECOS PAC ID | 0042751430 |
|---|---|
| Medicare Enrollment ID | O20240925003407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386474625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Catharine M Cadigan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659301679 PECOS PAC ID: 5597653535 Enrollment ID: I20040310000292 |
| Provider Name | Rosemary L Prentice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609801232 PECOS PAC ID: 9436154143 Enrollment ID: I20090128000575 |
| Provider Name | Brian Trezak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003913526 PECOS PAC ID: 1759331168 Enrollment ID: I20240829000488 |
| Provider Name | Linda Laflamme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932780020 PECOS PAC ID: 2264832088 Enrollment ID: I20241003000837 |
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