Mr Mark R Hammond, MA, CCC-SLP | |
222 Auburn St, Suite 1g, Portland, ME 04103-6004 | |
(207) 797-8255 | |
(200) 779-7556 |
Full Name | Mr Mark R Hammond |
---|---|
Gender | Male |
Speciality | Speech-language Pathologist |
Location | 222 Auburn St, Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356456248 | NPI | - | NPPES |
010512139 | Other | ME | TAX ID |
130820099 | Medicaid | ME | |
AA28449 | Other | ME | HARVARD PILGRIM ID |
018316 | Other | ME | ANTHEM ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SP131 (Maine) | Primary |
Provider Name | Hammond Associates Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457387904 PECOS PAC ID: 4284780156 Enrollment ID: O20090917000287 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark R Hammond, MA, CCC-SLP 222 Auburn St, Suite 1g, Portland, ME 04103-6004 Ph: (207) 797-8255 | Mr Mark R Hammond, MA, CCC-SLP 222 Auburn St, Suite 1g, Portland, ME 04103-6004 Ph: (207) 797-8255 |
Lindsay Healey, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 222 Auburn St, Ste. 1g, Portland, ME 04103 Phone: 207-797-8255 Fax: 207-797-5560 | |
Mrs. Rosie Ankhartz, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1601 Congress St, Portland, ME 04102 Phone: 207-774-5710 | |
Melissa Bethony, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 222 Auburn St, Ste. 1g, Portland, ME 04103 Phone: 207-797-8255 Fax: 207-797-5560 | |
Katherine Quigley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1011 Forest Ave, Portland, ME 04103 Phone: 207-781-8881 | |
Amanda Trickey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 83 Milton St, Portland, ME 04103 Phone: 609-744-6448 | |
Jacqueline R Delong, MA CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 222 Auburn St, Portland, ME 04103 Phone: 207-797-8255 Fax: 207-797-5560 | |
Nicholas Viola, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 386 Palmer Ave, Portland, ME 04103 Phone: 207-807-8897 |