Jennifer Oddleifson (NPI# 1013918036, PAC ID# 3476519992) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1013918036 |
| PAC ID by PECOS | 3476519992 |
| Professional Enrollment ID | I20041207000474 |
| Full Name | Jennifer Oddleifson |
| Organization Legal Name | MAINEHEALTH |
| Address |
592 W Main St Lmp Family Medicine Waldoboro Waldoboro ME 04572-6030 |
| Phone Number | 2078326394 |
| Gender | F |
| Credential | PA |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7517860588 |
| Number of Group Practice Members | 1115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 201302 | LINCOLNHEALTH |
| 200063 | PENOBSCOT BAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 592 W Main St, Lmp Family Medicine Waldoboro, Waldoboro, ME 04572-6030 | 2078326394 | MAINEHEALTH |
| Organization Legal Name | MAINEHEALTH |
| Physicians | 929 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Williams | Nurse Practitioner | Mainehealth | 79 Schooner St, Suite 1, Damariscotta, ME 04543-4051 |
| Leslie W Bray | Nurse Practitioner | Mainehealth | 2399 Atlantic Hwy, Lincolnville, ME 04849-5322 |
| Kathryn E Hassett | Clinical Social Worker | Mainehealth | 48 Gilman St, Portland, ME 04102-3004 |
| Robert A Toscano | Psychiatry | Mainehealth | 165 Lancaster St, Portland, ME 04101-2406 |
| Robert E Grondahl | Obstetrics/gynecology | Mainehealth | 16 Fahy St, Suite 108, Belfast, ME 04915-6029 |
| Kailee O D'angelo | Nurse Practitioner | Mainehealth | 13 Industrial Park Rd, Saco, ME 04072-1804 |
| Deena M Ryan | Nurse Practitioner | Mainehealth | 2 Livewell Dr, Kennebunk, ME 04043-6762 |
| Christian M Basque | Sports Medicine | Mainehealth | 46 Barra Rd, Biddeford, ME 04005-9461 |
| Peter Rubin | Hematology/oncology | Mainehealth | 26 W Cole Rd, 102 Smhc Cancer Care and Blood Disorders, Biddeford, ME 04005-9407 |
| James P Lepich | Nurse Practitioner | Mainehealth | 193 Main St, Norway, ME 04268-5645 |
| Street Address |
592 W MAIN ST LMP FAMILY MEDICINE WALDOBORO |
| City | WALDOBORO |
| State | ME |
| Zip | 04572-6030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann M Coughlan | Internal Medicine | Mainehealth | 592 W Main St, Lmp Family Medicine Waldoboro, Waldoboro, ME 04572-6030 |
| Katherine Ames | Clinical Social Worker | Mainehealth | 592 W Main St, Lmp Family Medicine Waldoboro, Waldoboro, ME 04572-6030 |
| Cassandra Hotaling-hahn | Physician Assistant | Mainehealth | 592 W Main St, Lmp Family Medicine Waldoboro, Waldoboro, ME 04572-6030 |
| Jeffrey A Ball | Internal Medicine | Lincolnhealth | 592 W Main St, Waldoboro, ME 04572-6030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret H Webb | Family Medicine | Medomak Family Medicine LLC | 34 Jefferson St, Waldoboro, ME 04572-6007 |
| Marie Ilvonen | Clinical Social Worker | Penobscot Bay Physicians and Associates | 27 Mill St, Waldoboro, ME 04572-6013 |
| Dolores Theresa Biagini | Physical Therapy | Sheepscot Bay Physical Therapy | 1607 Atlantic Hwy, Waldoboro, ME 04572-6023 |
| Brian Victor Mathieu | Physical Therapy | Sheepscot Bay Physical Therapy | 1607 Atlantic Hwy, Waldoboro, ME 04572-6023 |
| Jean E Beattie | Physical Therapy | Sheepscot Bay Physical Therapy | 1607 Atlantic Hwy, Waldoboro, ME 04572-6023 |
| Stephen Sharrow | Physical Therapy | Sheepscot Bay Physical Therapy | 1607 Atlantic Hwy, Waldoboro, ME 04572-6023 |
| Karen E Jimenez | Physical Therapy | Sheepscot Bay Physical Therapy | 1607 Atlantic Hwy, Waldoboro, ME 04572-6023 |
| Debra A Tillou | Chiropractic | 290 Bremen Rd, Waldoboro, ME 04572-6167 |
| City | WALDOBORO |
| Zip Code | 04572 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WALDOBORO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jennifer Oddleifson.
| 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.