Cameron Goller (NPI# 1043878648, PAC ID# 3870820756) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1043878648 |
| PAC ID by PECOS | 3870820756 |
| Professional Enrollment ID | I20190815000839 |
| Full Name | Cameron Goller |
| Organization Legal Name | PENOBSCOT COMMUNITY HEALTH CENTER |
| Address |
735 Wilson St Brewer Medical Center Brewer ME 04412-1003 |
| Phone Number | 2079891567 |
| Gender | M |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0143212670 |
| Number of Group Practice Members | 109 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200001 | ST JOSEPH HOSPITAL |
| 200033 | EASTERN MAINE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 735 Wilson St, Brewer Medical Center, Brewer, ME 04412-1003 | 2079891567 | PENOBSCOT COMMUNITY HEALTH CENTER |
| Organization Legal Name | PENOBSCOT COMMUNITY HEALTH CENTER |
| Physicians | 146 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitzi L Wright | Nurse Practitioner | Penobscot Community Health Center | 1012 Union St, Suite 3, Bangor, ME 04401-3058 |
| Maegan L. Woodman | Nurse Practitioner | Penobscot Community Health Center | 735 Wilson St, Brewer Medical Center, Brewer, ME 04412-1003 |
| Benjamin Smith | Nurse Practitioner | Penobscot Community Health Center | 6 Telcom Dr, Bangor, ME 04401-3072 |
| Pauline P Irwin Beck | Nurse Practitioner | Penobscot Community Health Center | 53 Schoodic Dr, Belfast, ME 04915-7246 |
| Nicole Smith-sandilands | Family Medicine | Penobscot Community Health Center | 242 Brunswick St, Old Town, ME 04468-1613 |
| Adrienne Carmack | Pediatric Medicine | Penobscot Community Health Center | 1068 Union St, Bangor, ME 04401-3016 |
| Kenneth G Nadeau | Physician Assistant | Penobscot Community Health Center | 992 Union St, Bangor, ME 04401-3057 |
| Laurie E Yntema | Internal Medicine | Penobscot Community Health Center | 9 Alumni Dr, Orono, ME 04473-3479 |
| Lisa A Buck | Family Medicine | Penobscot Community Health Center | 181 Corporate Dr, Bangor, ME 04401-4314 |
| Noah Nesin | Family Medicine | Penobscot Community Health Center | 86 Davis Rd, Bangor, ME 04401-2311 |
| Street Address |
735 WILSON ST BREWER MEDICAL CENTER |
| City | BREWER |
| State | ME |
| Zip | 04412-1003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maegan L. Woodman | Nurse Practitioner | Penobscot Community Health Center | 735 Wilson St, Brewer Medical Center, Brewer, ME 04412-1003 |
| Brooke Ann Morin | Nurse Practitioner | Penobscot Community Health Center | 735 Wilson St, Brewer Medical Center, Brewer, ME 04412-1003 |
| David J Rawcliffe | Family Medicine | Penobscot Community Health Center | 735 Wilson St, Brewer Medical Center, Brewer, ME 04412-1003 |
| Aroob Moin | Podiatry | Penobscot Community Health Center | 735 Wilson St, Brewer Medical Center, Brewer, ME 04412-1003 |
| Mary E Eyerer | Family Medicine | Penobscot Community Health Center | 735 Wilson St, Brewer Medical Center, Brewer, ME 04412-1003 |
| Jenelle Hazzard | Nurse Practitioner | Penobscot Community Health Center | 735 Wilson St, Brewer Medical Center, Brewer, ME 04412-1003 |
| Teddy Kajkowski Jr. | Physical Therapy | Penobscot Community Health Center | 735 Wilson St, Brewer Medical Center, Brewer, ME 04412-1003 |
| Daniel Feltovic | Nurse Practitioner | Penobscot Community Health Center | 735 Wilson St, Brewer Medical Center, Brewer, ME 04412-1003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Lepage | Physical Therapy | Back In Motion Physical Therapy LLC | 797 Wilson St, Brewer, ME 04412-1000 |
| Deborah A Six | Physical Therapy | Back In Motion Physical Therapy LLC | 797 Wilson St, Brewer, ME 04412-1000 |
| Simon Sjostedt | Physical Therapy | Back In Motion Physical Therapy LLC | 797 Wilson St, Brewer, ME 04412-1000 |
| Hali Meehan | Physical Therapy | Back In Motion Physical Therapy LLC | 797 Wilson St, Brewer, ME 04412-1000 |
| Christina Morris | Physical Therapy | Back In Motion Physical Therapy LLC | 797 Wilson St, Brewer, ME 04412-1000 |
| Jeffrey Walton | Physical Therapy | Back In Motion Physical Therapy LLC | 797 Wilson St, Brewer, ME 04412-1000 |
| Carol Lane | Physical Therapy | Results Physical and Occupational Therapy | 797 Wilson St, Brewer, ME 04412-1000 |
| James Castleman | Physical Therapy | Results Physical and Occupational Therapy | 797 Wilson St, Brewer, ME 04412-1000 |
| Elizabeth R Dennis | Internal Medicine | Eastern Maine Medical Center | 33 Whiting Hill Rd, Brewer, ME 04412-1021 |
| Shirley A Gove Vlahos | Nurse Practitioner | Eastern Maine Medical Center | 33 Whiting Hill Rd, Brewer, ME 04412-1021 |
| Find all physicians in zip 04412 | |||
| City | BREWER |
| Zip Code | 04412 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BREWER + NURSE PRACTITIONER |
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| 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.