Center For Integrative And Regenerative Medicine - Medicare Primary Care in Bangor, ME

Center For Integrative And Regenerative Medicine is a medicare enrolled primary clinic (Clinic/center) in Bangor, Maine. The current practice location for Center For Integrative And Regenerative Medicine is 277 State St Ste 1b, Bangor, Maine. For appointments, you can reach them via phone at (207) 947-9200. The mailing address for Center For Integrative And Regenerative Medicine is 277 State St Ste 1b, Bangor, Maine and phone number is () -.

Center For Integrative And Regenerative Medicine is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003434655. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (207) 947-9200.

Contact Information

Center For Integrative And Regenerative Medicine
277 State St Ste 1b
Bangor
ME 04401-5440
(207) 947-9200
Not Available

Primary Care Clinic Profile

Full NameCenter For Integrative And Regenerative Medicine
SpecialityClinic/Center
Location277 State St Ste 1b, Bangor, Maine
Authorized Official Name and PositionJacqueline Tardif (OFFICE MANAGER)
Authorized Official Contact2079479200
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Center For Integrative And Regenerative Medicine
277 State St Ste 1b
Bangor
ME 04401-5440

Ph: () -
Center For Integrative And Regenerative Medicine
277 State St Ste 1b
Bangor
ME 04401-5440

Ph: (207) 947-9200

NPI Details:

NPI Number1003434655
Provider Enumeration Date07/10/2020
Last Update Date08/31/2020

Medicare PECOS Information:

Medicare PECOS PAC ID9436575651
Medicare Enrollment IDO20200722002437

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Medical Identifiers

Medical identifiers for Center For Integrative And Regenerative Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003434655NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Center For Integrative And Regenerative Medicine acts as a billing entity for following providers:
Provider NameSusan K Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487682290
PECOS PAC ID: 3870507874
Enrollment ID: I20060130000303

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Provider NameSara Dayon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932578531
PECOS PAC ID: 0648570754
Enrollment ID: I20151121000042

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Provider NameAuteum M Lake
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629594882
PECOS PAC ID: 4284900531
Enrollment ID: I20171101000567

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Clinic/Center in Bangor, ME

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