Whiting Bay Family Medicine, Pa | |
125 Us Route 1 Whiting ME 04691 | |
(207) 733-2900 | |
(207) 733-2866 |
Full Name | Whiting Bay Family Medicine, Pa |
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Speciality | Family Medicine |
Location | 125 Us Route 1, Whiting, Maine |
Authorized Official Name and Position | Pat A. Godin (OFFICE MANAGER) |
Authorized Official Contact | 2077332900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Whiting Bay Family Medicine, Pa Po Box 108 Whiting ME 04691-0108 Ph: (207) 733-2900 | Whiting Bay Family Medicine, Pa 125 Us Route 1 Whiting ME 04691 Ph: (207) 733-2900 |
NPI Number | 1568674232 |
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Provider Enumeration Date | 05/04/2007 |
Last Update Date | 12/01/2011 |
Medicare PECOS PAC ID | 5698781714 |
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Medicare Enrollment ID | O20071218000407 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568674232 | NPI | - | NPPES |
080170735 | Other | ME | RAILROAD MEDICARE |
025951 | Other | ME | ANTHEM BCBS |
610130001 | Other | ME | CIGNA |
F14082 | Other | ME | HARVARD PILGRIM |
098154 | Other | ME | AETNA |
132790000 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 013026 (Maine) | Primary |
Provider Name | Julia A Arnold |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629149133 PECOS PAC ID: 1658316807 Enrollment ID: I20050628000356 |