Derek R Libby (NPI# 1184815730, PAC ID# 4486721834) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OSTEOPATHIC MANIPULATIVE MEDICINE.
Nation Provider ID (NPI) | 1184815730 |
PAC ID by PECOS | 4486721834 |
Professional Enrollment ID | I20080926000203 |
Full Name | Derek R Libby |
Address |
97 A Exchange St Suite 201 Portland ME 04101-5016 |
Phone Number | 2077733335 |
Gender | M |
Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
Graduation Year | 2003 |
Primary Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
97 A Exchange St, Suite 201, Portland, ME 04101-5016 | 2077733335 |
Street Address |
97 A EXCHANGE ST SUITE 201 |
City | PORTLAND |
State | ME |
Zip | 04101-5016 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sandra Couch Kelly | Clinical Social Worker | Spurwink Services Incorporated | Portland Help Ctr, 477 Congress St 4th Fl, Portland, ME 04101 |
Leslie Abrons | Clinical Social Worker | 609 Forest Ave, Portland, ME 04101-1515 | |
Beth E Eilers | Clinical Social Worker | 609 Forest Ave, Portland, ME 04101-1515 | |
Catharine Payson | Clinical Social Worker | 585 Forest Ave, Suite 1, Portland, ME 04101-1519 | |
Kathy Karpeles | Psychologist, Clinical | 651 Forest Ave, Portland, ME 04101-1525 | |
Joanne T Roy | Clinical Social Worker | Catholic Charities Maine | 11 Baxter Blvd, Portland, ME 04101-1801 |
John J Padavano | Orthopedic Surgery | Orthopedic Center of New England Pa | 55 Baxter Blvd, Portland, ME 04101-1801 |
Katie L Vine | Clinical Social Worker | Catholic Charities Maine | 11 Baxter Blvd, Portland, ME 04101-1801 |
Katelyn Bennett | Physical Therapy | Maine Medical Partners | 43 Baxter Blvd, Portland, ME 04101-1823 |
Paul R Albert | Physical Therapy | Maine Medical Partners | 43 Baxter Blvd, Portland, ME 04101-1823 |
Find all physicians in zip 04101 |
City | PORTLAND |
Zip Code | 04101 |
Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
City + Specialty | PORTLAND + OSTEOPATHIC MANIPULATIVE MEDICINE |
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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.