MRS. PRISCILLA LOIS DORMAN (NPI# 1457681413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457681413 |
| Entity Type | Individual |
| Full Name | MRS. PRISCILLA LOIS DORMAN |
| Practice Address |
636 Pinetree Rd Hermon ME 04401-0126 |
| Practice Telephone | 2078480729 |
| Practice Fax Number | 2078480729 |
| Mailing Telephone | 2078480729 |
| Mailing Fax Number | 2078480729 |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 171M00000X | ME | Other Service Providers |
| Street Address |
636 PINETREE RD |
| City | HERMON |
| State | ME |
| Zip Code | 04401-0126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366689424 | Danielle Lynn Perkins | Case Manager/Care Coordinator | 67 Hermon Hts, Hermon, ME 04401-0200 | 2009-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
| 1649837279 | Patrick Manzanza Diongo | Case Manager/Care Coordinator | 345 Saco St Unit 9, Westbrook, ME 04092-2067 | 2019-05-20 |
| 1497311773 | Ali Tareq Ashour | Case Manager/Care Coordinator | 980 Forest Ave Ste 106, Portland, ME 04103-3357 | 2019-05-13 |
| 1366927287 | Sherry Anne Dunbar | Case Manager/Care Coordinator | 99 Back Searsport Rd, Searsport, ME 04974 | 2018-09-26 |
| 1649782988 | Summit Support Services LLC | Case Manager/Care Coordinator | 860 Us Route 2 E Unit 2, Wilton, ME 04294-3864 | 2017-10-26 |
| 1396256186 | Paragon Support Services | Case Manager/Care Coordinator | 17 Maxim Ct, Winthrop, ME 04364-1408 | 2017-10-19 |
| 1366967812 | Kennebec Valley Case Management Service | Case Manager/Care Coordinator | 309 Windsor Rd, Chelsea, ME 04330-1342 | 2017-08-06 |
| 1629426515 | Thomas Frank Marchell | Case Manager/Care Coordinator | 103 State Rd, Kittery, ME 03904-1593 | 2016-06-01 |
| 1285089987 | Michael Dalton | Case Manager/Care Coordinator | 76 Emery Ln, West Gardiner, ME 04345-3420 | 2016-05-01 |
| 1427473081 | Leslie Linscott | Case Manager/Care Coordinator | 253 Hammond St, Bangor, ME 04401-4610 | 2014-02-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.