Alicia M Mancuso (NPI# 1083901078, PAC ID# 1254599798) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1083901078 |
| PAC ID by PECOS | 1254599798 |
| Professional Enrollment ID | I20140806002538 |
| Full Name | Alicia M Mancuso |
| Organization Legal Name | EASTERN MAINE HEALTHCARE SYSTEMS INLAND HOSPITAL |
| Address |
200 Kennedy Memorial Dr Waterville ME 04901-4526 |
| Phone Number | 2078613338 |
| Gender | F |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 6305817503 |
| Number of Group Practice Members | 66 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200041 | INLAND HOSPITAL |
| 200039 | MAINE GENERAL MEDICAL CENTER |
| 201314 | REDINGTON FAIRVIEW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 | 2078613338 | EASTERN MAINE HEALTHCARE SYSTEMS INLAND HOSPITAL |
| Organization Legal Name | EASTERN MAINE HEALTHCARE SYSTEMS INLAND HOSPITAL |
| Physicians | 70 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy M Kuhl | Family Medicine | Eastern Maine Healthcare Systems Inland Hospital | 180 Kennedy Memorial Dr, Suite 301, Waterville, ME 04901-4541 |
| Gavin M Ducker | Family Medicine | Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 |
| Jennifer L Marshall | Anesthesiology | Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 |
| Hilary K Lee | Nurse Practitioner | Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 |
| Julie E Gerow | Nurse Practitioner | Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 |
| Jennifer E Penney | Nurse Practitioner | Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 |
| Mary Carver Vaughan | Obstetrics/gynecology | Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 |
| Lance S Feller | Rheumatology | Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 |
| Michael G Workman | Nurse Practitioner | Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 |
| Timothy F Gale | Certified Registered Nurse Anesthetist (crna) | Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 |
| Street Address |
200 KENNEDY MEMORIAL DR |
| City | WATERVILLE |
| State | ME |
| Zip | 04901-4526 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gavin M Ducker | Family Medicine | Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 |
| Jennifer L Marshall | Anesthesiology | Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 |
| Hilary K Lee | Nurse Practitioner | Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 |
| Julie E Gerow | Nurse Practitioner | Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 |
| Michael B Miller | Diagnostic Radiology | Spectrum Healthcare Partners Pa | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 |
| Jennifer E Penney | Nurse Practitioner | Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 |
| Rebecca A Sharpe | Physician Assistant | Hospital Medicine Services of Maine LLC | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 |
| Mary Carver Vaughan | Obstetrics/gynecology | Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 |
| Lance S Feller | Rheumatology | Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 |
| Michael G Workman | Nurse Practitioner | Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Saletta | Gastroenterology | Mainegeneral Medical Center | 149 N St, Waterville, ME 04901 |
| Stephen M Raph | Internal Medicine | Mainegeneral Medical Center | 149 N St, Waterville, ME 04901 |
| Elizabeth Harwood | Nurse Practitioner | Mainegeneral Medical Center | 149 N St, Waterville, ME 04901 |
| Robert S Croswell | Psychiatry | Mainegeneral Medical Center | 149 N St, Waterville, ME 04901 |
| Danielle Rice | Nurse Practitioner | Mainegeneral Medical Center | 149 N St, Waterville, ME 04901 |
| Dennis J Dix | Clinical Social Worker | Mainegeneral Medical Center | 149 N St, Waterville, ME 04901 |
| Persis E Hope | Nurse Practitioner | Mainegeneral Medical Center | 149 N St, Waterville, ME 04901 |
| Joann Wang | Geriatric Medicine | Mainegeneral Medical Center | 149 N St, Waterville, ME 04901 |
| Christina Carter | Nurse Practitioner | Mainegeneral Medical Center | 149 N St, Waterville, ME 04901 |
| Richard Hobbs | Family Medicine | Mainegeneral Medical Center | 149 N St, Waterville, ME 04901 |
| Find all physicians in zip 04901 | |||
| City | WATERVILLE |
| Zip Code | 04901 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WATERVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Alicia M Mancuso.
| 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.