Jeremy J. Beaulieu (NPI# 1427496868, PAC ID# 1052552288) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1427496868 |
| PAC ID by PECOS | 1052552288 |
| Professional Enrollment ID | I20150723007658 |
| Full Name | Jeremy J. Beaulieu |
| Organization Legal Name | SOUTHERN MAINE GERIATRICS ASSOCIATES LLC |
| Address |
50 Marquis Rd Freeport ME 04032-6477 |
| Phone Number | 2078656131 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7214926351 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200034 | ST MARYS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 50 Marquis Rd, Freeport, ME 04032-6477 | 2078656131 | SOUTHERN MAINE GERIATRICS ASSOCIATES LLC |
| Organization Legal Name | SOUTHERN MAINE GERIATRICS ASSOCIATES LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Pettit Funk Delldonna | Nurse Practitioner | Southern Maine Geriatrics Associates LLC | 29 Maurice Dr, Brunswick, ME 04011-3270 |
| Kirsten A Berman | Internal Medicine | Southern Maine Geriatrics Associates LLC | 50 Marquis Rd, Freeport, ME 04032-6477 |
| Jodee L Mosher | Internal Medicine | Southern Maine Geriatrics Associates LLC | 4 Old County Rd, Freeport, ME 04032-6231 |
| Kellie J Ramsdell | Nurse Practitioner | Southern Maine Geriatrics Associates LLC | 50 New Portland Rd, Gorham House, Gorham, ME 04038-1542 |
| Philip C Groce | Family Medicine | Southern Maine Geriatrics Associates LLC | 50 Marquis Rd, Freeport, ME 04032-6477 |
| Carol Talbot | Physician Assistant | Southern Maine Geriatrics Associates LLC | 50 Marquis Rd, Freeport, ME 04032-6477 |
| Julia T Tian | Internal Medicine | Southern Maine Geriatrics Associates LLC | 50 Marquis Rd, Freeport, ME 04032-6477 |
| Margaret A Shepp | Internal Medicine | Southern Maine Geriatrics Associates LLC | 50 Marquis Rd, Freeport, ME 04032-6477 |
| Ari Berman | Internal Medicine | Southern Maine Geriatrics Associates LLC | 50 Marquis Rd, Freeport, ME 04032-6477 |
| Catherine M Tarpy | Nurse Practitioner | Southern Maine Geriatrics Associates LLC | 50 Marquis Rd, Freeport, ME 04032-6477 |
| Street Address |
50 MARQUIS RD |
| City | FREEPORT |
| State | ME |
| Zip | 04032-6477 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirsten A Berman | Internal Medicine | Southern Maine Geriatrics Associates LLC | 50 Marquis Rd, Freeport, ME 04032-6477 |
| Philip C Groce | Family Medicine | Southern Maine Geriatrics Associates LLC | 50 Marquis Rd, Freeport, ME 04032-6477 |
| Carol Talbot | Physician Assistant | Southern Maine Geriatrics Associates LLC | 50 Marquis Rd, Freeport, ME 04032-6477 |
| Julia T Tian | Internal Medicine | Southern Maine Geriatrics Associates LLC | 50 Marquis Rd, Freeport, ME 04032-6477 |
| Margaret A Shepp | Internal Medicine | Southern Maine Geriatrics Associates LLC | 50 Marquis Rd, Freeport, ME 04032-6477 |
| Ari Berman | Internal Medicine | Southern Maine Geriatrics Associates LLC | 50 Marquis Rd, Freeport, ME 04032-6477 |
| Catherine M Tarpy | Nurse Practitioner | Southern Maine Geriatrics Associates LLC | 50 Marquis Rd, Freeport, ME 04032-6477 |
| Robert James Rolfes | Internal Medicine | Southern Maine Geriatrics Associates LLC | 50 Marquis Rd, Freeport, ME 04032-6477 |
| Michael J Bither | Geriatric Medicine | Southern Maine Geriatrics Associates LLC | 50 Marquis Rd, Freeport, ME 04032-6477 |
| Jay M Ungar | Geriatric Medicine | Southern Maine Geriatrics Associates LLC | 50 Marquis Rd, Freeport, ME 04032-6477 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret R Kimball | Clinical Social Worker | 32 Linwood Rd, Freeport, ME 04032-1132 | |
| Michelle Renee Selby | Clinical Social Worker | Partnership for Trauma Recovery | 45 Mallett Dr, Freeport, ME 04032-1312 |
| Robert B Cameron | Clinical Social Worker | 45 Mallett Dr, Freeport, ME 04032-1312 | |
| Grace L Wright | Clinical Social Worker | Partnership for Trauma Recovery | 45 Mallett Dr, Freeport, ME 04032-1312 |
| Angie J. Moorman | Clinical Social Worker | Partnership for Trauma Recovery | 45 Mallett Dr, Freeport, ME 04032-1312 |
| Lyndsey Patton | Nurse Practitioner | Ibis Health Services - Maine LLC | 140 Main St, Suite 3, Freeport, ME 04032-1348 |
| Carrie Pollard Donoghue | Occupational Therapy | 147 Main St, Freeport, ME 04032-1353 | |
| Kevin C Zorski | General Practice | Kevin Zorski D.o. LLC | 42 Mallett Dr, Freeport, ME 04032-1355 |
| Laurel A Snow | Clinical Social Worker | 2 Cushing Briggs Rd, Freeport, ME 04032-6140 | |
| Stephen R Goldbas | Osteopathic Manipulative Medicine | Be Well My Friend LLC | 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145 |
| Find all physicians in zip 04032 | |||
| City | FREEPORT |
| Zip Code | 04032 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FREEPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jeremy J. Beaulieu.
| 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.