Dwight S Blease (NPI# 1659465011, PAC ID# 3476595299) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1659465011 |
PAC ID by PECOS | 3476595299 |
Professional Enrollment ID | I20050523000636 |
Full Name | Dwight S Blease |
Address |
10 Cushing St Brunswick ME 04011-1801 |
Phone Number | 2077252800 |
Gender | M |
Credential | DPM |
Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
Graduation Year | 1987 |
Primary Specialty | PODIATRY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
200021 | MID COAST HOSPITAL |
Address | Phone | Organization |
---|---|---|
10 Cushing St, Brunswick, ME 04011-1801 | 2077252800 |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Street Address |
10 CUSHING ST |
City | BRUNSWICK |
State | ME |
Zip | 04011-1801 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michelle M Harris | Ophthalmology | Mid Coast Hospital | 8 Mason St, Brunswick, ME 04011-1514 |
Lindy Ost | Physical Therapy | 4 Riverview Dr, Brunswick, ME 04011-1632 | |
Michaelanne Rosenzweig | Clinical Social Worker | 19 Signature Dr, Brunswick, ME 04011-1753 | |
Kathleen E Sullivan | Clinical Social Worker | 16 Lincoln St, Brunswick, ME 04011-1900 | |
Judith B Maloney | Clinical Social Worker | 6 Cumberland St, Brunswick, ME 04011-1904 | |
Elizabeth M Bragdon | Psychologist, Clinical | 8 Cumberland St, Brunswick, ME 04011-1904 | |
Anita L Goller | Psychologist, Clinical | 6 Cumberland St, Brunswick, ME 04011-1904 | |
Whitney Houghton | Psychiatry | 6 Cumberland St, Brunswick, ME 04011-1904 | |
Martha J Barry | Psychologist, Clinical | 8 Cumberland St, Brunswick, ME 04011-1904 | |
Meredith R Hamer | Clinical Social Worker | 8 Cumberland St, Brunswick, ME 04011-1904 | |
Find all physicians in zip 04011 |
City | BRUNSWICK |
Zip Code | 04011 |
Specialty | PODIATRY |
City + Specialty | BRUNSWICK + PODIATRY |
Please comment or provide details below to improve the information on Dwight S Blease.
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.