Clyde A Watkins Jr. (NPI# 1578585923, PAC ID# 4587630850) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1578585923 |
| PAC ID by PECOS | 4587630850 |
| Professional Enrollment ID | I20180501001995 |
| Full Name | Clyde A Watkins Jr. |
| Organization Legal Name | PENOBSCOT BAY MEDICAL CENTER |
| Address |
756 Commercial St Rockport ME 04856-4201 |
| Phone Number | 2079213999 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 2163320508 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200063 | PENOBSCOT BAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 116 Union St, Rockport, ME 04856-6102 | 2079216090 | PENOBSCOT BAY MEDICAL CENTER |
| 4 Glen Cove Dr, Suite 109, Rockport, ME 04856-4235 | 2079215500 | PENOBSCOT BAY MEDICAL CENTER |
| 6 Glen Cove Dr, Rockport, ME 04856-4273 | PENOBSCOT BAY MEDICAL CENTER | |
| 6 Madelyn Ln, Rockport, ME 04856-4461 | 2079216380 | PENOBSCOT BAY MEDICAL CENTER |
| 756 Commercial St, Rockport, ME 04856-4201 | 2079213999 | PENOBSCOT BAY MEDICAL CENTER |
| Organization Legal Name | PENOBSCOT BAY MEDICAL CENTER |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth J Drury | Nurse Practitioner | Penobscot Bay Medical Center | 6 Glen Cove Dr, Rockport, ME 04856-4273 |
| Chris J Michalakes | Emergency Medicine | Penobscot Bay Medical Center | 756 Commercial St, Rockport, ME 04856-4201 |
| Nir J Harish | Emergency Medicine | Penobscot Bay Medical Center | 6 Glen Cove Dr, Rockport, ME 04856-4240 |
| John Randolph | Emergency Medicine | Penobscot Bay Medical Center | 6 Glen Cove Dr, Rockport, ME 04856-4240 |
| Mckenzie S Savidge | Emergency Medicine | Penobscot Bay Medical Center | 6 Glen Cove Dr, Rockport, ME 04856-4240 |
| Street Address |
756 COMMERCIAL ST |
| City | ROCKPORT |
| State | ME |
| Zip | 04856-4201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chris J Michalakes | Emergency Medicine | Penobscot Bay Medical Center | 756 Commercial St, Rockport, ME 04856-4201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard W Hoyt | Ophthalmology | Hoyt Eye Care Center, LLC | 1100 Commercial St, Rockport, ME 04856-3801 |
| Lynne Kaplinsky | Ophthalmology | Hoyt Eye Care Center, LLC | 1100 Commercial St, Rockport, ME 04856-3801 |
| Allan J Bogdan | Ophthalmology | 34 Old County Rd, Rockport, ME 04856-4004 | |
| Robert J Dreher | Ophthalmology | 34 Old County Rd, Rockport, ME 04856-4004 | |
| David A Bradeen | Internal Medicine | Penobscot Bay Physicians and Associates | 3 Glen Cove Dr, Rockport, ME 04856-4232 |
| Omer A Thibodeau | General Surgery | Penobscot Bay Physicians and Associates | 3 Glen Cove Dr, Rockport, ME 04856-4232 |
| Lori K Jackson | Physician Assistant | Penobscot Bay Physicians and Associates | 3 Glen Cove Dr, Rockport, ME 04856-4232 |
| Jack Waterman | Family Practice | Penobscot Bay Physicians and Associates | 3 Glen Cove Dr, Rockport, ME 04856-4232 |
| William E Master | Infectious Disease | Penobscot Bay Physicians and Associates | 3 Glen Cove Dr, Rockport, ME 04856-4232 |
| Susan L Bell | Nurse Practitioner | Penobscot Bay Physicians and Associates | 3 Glen Cove Dr, Rockport, ME 04856-4232 |
| Find all physicians in zip 04856 | |||
| City | ROCKPORT |
| Zip Code | 04856 |
| Specialty | PSYCHIATRY |
| City + Specialty | ROCKPORT + PSYCHIATRY |
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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.