Edward J Deveau Jr. (NPI# 1598153082, PAC ID# 0547586547) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1598153082 |
| PAC ID by PECOS | 0547586547 |
| Professional Enrollment ID | I20150311000280 |
| Full Name | Edward J Deveau Jr. |
| Organization Legal Name | NURSE ANESTHESIA OF MAINE LLC |
| Address |
900 Hammond St A Bangor ME 04401-4378 |
| Phone Number | 2079476743 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1658668694 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200033 | EASTERN MAINE MEDICAL CENTER |
| 200041 | INLAND HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 489 State St, Bangor, ME 04401-6616 | EASTERN MAINE MEDICAL CENTER | |
| 900 Hammond St, A, Bangor, ME 04401-4378 | 2079476743 | NURSE ANESTHESIA OF MAINE LLC |
| 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 | 2078613338 | EASTERN MAINE HEALTHCARE SYSTEMS INLAND HOSPITAL |
| Organization Legal Name | NURSE ANESTHESIA OF MAINE LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley B Audet | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthesia of Maine LLC | 325 A Kennedy Memorial Dr, Waterville, ME 04901-4559 |
| Daniel Stephen Groves | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthesia of Maine LLC | 900 Hammond St, A, Bangor, ME 04401-4378 |
| Stephen Michael Lewandowski | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthesia of Maine LLC | 900 Hammond St, A, Bangor, ME 04401-4378 |
| Kendall L Shaler | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthesia of Maine LLC | 900 Hammond St, A, Bangor, ME 04401-4378 |
| Jocelin Caron | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthesia of Maine LLC | 900 Hammond St, A, Bangor, ME 04401-4378 |
| Street Address |
900 HAMMOND ST A |
| City | BANGOR |
| State | ME |
| Zip | 04401-4378 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Stephen Groves | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthesia of Maine LLC | 900 Hammond St, A, Bangor, ME 04401-4378 |
| Garth A Wilbanks | Ophthalmology | Eastern Maine Eye Associates Pa | 900 Hammond St, A, Bangor, ME 04401-4378 |
| Cynthia A Self | Ophthalmology | Eastern Maine Eye Associates Pa | 900 Hammond St, A, Bangor, ME 04401-4378 |
| Stephen Michael Lewandowski | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthesia of Maine LLC | 900 Hammond St, A, Bangor, ME 04401-4378 |
| Kendall L Shaler | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthesia of Maine LLC | 900 Hammond St, A, Bangor, ME 04401-4378 |
| Jeffrey J Jordan | Ophthalmology | Eastern Maine Eye Associates Pa | 900 Hammond St, A, Bangor, ME 04401-4378 |
| Jocelin Caron | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthesia of Maine LLC | 900 Hammond St, A, Bangor, ME 04401-4378 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karie Anne Davis | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Elizabeth A Brewer | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Heidi Lee Niles | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Ashley Diane Philibert | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Jaimee Leigh Perry | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Matthew Timothy Soucy | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Michael James Strahan | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Karen E Mitchell | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Ann M Covey | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Susan Allen | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Find all physicians in zip 04401 | |||
| City | BANGOR |
| Zip Code | 04401 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BANGOR + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.