Shannon M Meredith (NPI# 1407897614, PAC ID# 2466493887) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1407897614 |
| PAC ID by PECOS | 2466493887 |
| Professional Enrollment ID | I20050517000053 |
| Full Name | Shannon M Meredith |
| Organization Legal Name | EASTERN MAINE HEALTHCARE SYSTEMS |
| Address |
364 Pritham Ave Greenville ME 04441-7214 |
| Phone Number | 2076955200 |
| Gender | F |
| Credential | DPM |
| Graduation Year | 1992 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1557279031 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 201301 | CHARLES A DEAN MEMORIAL HOSPITAL |
| 201309 | MAYO REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 364 Pritham Ave, Greenville, ME 04441-7214 | 2076955200 | EASTERN MAINE HEALTHCARE SYSTEMS |
| Organization Legal Name | EASTERN MAINE HEALTHCARE SYSTEMS |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anas M Mansour | Cardiovascular Disease (cardiology) | Eastern Maine Healthcare Systems | 22 Haley Ct, Sangerville, ME 04479-3000 |
| Karl F Liebermann | Family Medicine | Eastern Maine Healthcare Systems | 364 Pritham Ave, Greenville, ME 04441-7214 |
| Joseph A Babbitt | Emergency Medicine | Eastern Maine Healthcare Systems | 22 Haley Ct, Sangerville, ME 04479-3000 |
| Darin M Peck | Family Medicine | Eastern Maine Healthcare Systems | 22 Haley Ct, Sangerville, ME 04479-3000 |
| Paul R Potvin | Emergency Medicine | Eastern Maine Healthcare Systems | 22 Haley Ct, Sangerville, ME 04479-3000 |
| Jeffrey S Graham | Urology | Eastern Maine Healthcare Systems | 22 Haley Ct, Sangerville, ME 04479-3000 |
| Robert M Bowie | Emergency Medicine | Eastern Maine Healthcare Systems | 22 Haley Ct, Sangerville, ME 04479-3000 |
| Brian P Mccann | Emergency Medicine | Eastern Maine Healthcare Systems | 364 Pritham Ave, Greenville, ME 04441-7214 |
| Street Address |
364 PRITHAM AVE |
| City | GREENVILLE |
| State | ME |
| Zip | 04441-7214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl F Liebermann | Family Medicine | Eastern Maine Healthcare Systems | 364 Pritham Ave, Greenville, ME 04441-7214 |
| Brian P Mccann | Emergency Medicine | Eastern Maine Healthcare Systems | 364 Pritham Ave, Greenville, ME 04441-7214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah I Witkin | Ophthalmology | Maine Eye Care Associates | 16 Moosehead Ctr Mall, Greenville, ME 04441 |
| Paige Oliver | Ophthalmology | Maine Eye Care Associates | 16 Moosehead Ctr Mall, Greenville, ME 04441 |
| City | GREENVILLE |
| Zip Code | 04441 |
| Specialty | PODIATRY |
| City + Specialty | GREENVILLE + PODIATRY |
Please comment or provide details below to improve the information on Shannon M Meredith.
| 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.