| Whole Medicine Llc | |
|
2o Mussey Road Suite 2 Scarborough ME 04074 | |
| (207) 885-1333 | |
| Not Available |
| Full Name | Whole Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2o Mussey Road, Scarborough, Maine |
| Authorized Official Name and Position | Claudia W Heise (OWNER) |
| Authorized Official Contact | 2078468722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Medicine Llc 2o Mussey Road Suite 2 Scarborough ME 04074 Ph: (207) 885-1333 | Whole Medicine Llc 2o Mussey Road Suite 2 Scarborough ME 04074 Ph: (207) 885-1333 |
| NPI Number | 1508475724 |
|---|---|
| Provider Enumeration Date | 07/23/2020 |
| Last Update Date | 07/23/2020 |
| Medicare PECOS PAC ID | 6800206996 |
|---|---|
| Medicare Enrollment ID | O20201030000934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508475724 | NPI | - | NPPES |
| 1649616319 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kristen A Scopaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114171857 PECOS PAC ID: 6305097825 Enrollment ID: I20121109000505 |
| Provider Name | Claudia W Heise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649616319 PECOS PAC ID: 4385874973 Enrollment ID: I20161018001981 |
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