Susan M Hage (NPI# 1043285364, PAC ID# 5193769511) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
Nation Provider ID (NPI) | 1043285364 |
PAC ID by PECOS | 5193769511 |
Professional Enrollment ID | I20050616000695 |
Full Name | Susan M Hage |
Organization Legal Name | MIDCOAST MEDICINE AND WELLNESS PC |
Address |
5 Mountain St Camden ME 04843-1614 |
Phone Number | 2072362169 |
Gender | F |
Credential | DO |
Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 1996 |
Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
Group Practice PAC ID | 5395046114 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
200063 | PENOBSCOT BAY MEDICAL CENTER |
201312 | WALDO COUNTY GENERAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
5 Mountain St, Camden, ME 04843-1614 | 2072362169 | MIDCOAST MEDICINE AND WELLNESS PC |
22 Bramhall St, Portland, ME 04102-3134 | MAINEHEALTH | |
4 Glen Cove Dr, Suite 109, Rockport, ME 04856-4235 | 2079215500 | MAINEHEALTH |
4 Glen Cove Dr, Rockport, ME 04856-4239 | MAINEHEALTH |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | MIDCOAST MEDICINE AND WELLNESS PC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary L Ashmore | Family Medicine | Midcoast Medicine and Wellness PC | 5 Mountain St, Camden, ME 04843-1614 |
Doreen M Kendall | Family Medicine | Midcoast Medicine and Wellness PC | 5 Mountain St, Camden, ME 04843-1614 |
Katherine A Killoran | Obstetrics/gynecology | Midcoast Medicine and Wellness PC | 5 Mountain St, Camden, ME 04843-1614 |
Street Address |
5 MOUNTAIN ST |
City | CAMDEN |
State | ME |
Zip | 04843-1614 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary L Ashmore | Family Medicine | Midcoast Medicine and Wellness PC | 5 Mountain St, Camden, ME 04843-1614 |
Doreen M Kendall | Family Medicine | Midcoast Medicine and Wellness PC | 5 Mountain St, Camden, ME 04843-1614 |
Katherine A Killoran | Obstetrics/gynecology | Midcoast Medicine and Wellness PC | 5 Mountain St, Camden, ME 04843-1614 |
Name | Specialty | Organization | Address |
---|---|---|---|
Marsha L Domench | Physical Therapy | 3 Mill St, Camden, ME 04843-1509 | |
Diana Sholtz | Clinical Psychologist | Medoptions of Maine LLC | 105 Mechanic St, Camden, ME 04843-1811 |
Michelle L Kinney | Nurse Practitioner | Hope Health PC | 77 Elm St, Suite 4, Camden, ME 04843-1904 |
Maryalice H Walker | Nurse Practitioner | Hope Health PC | 77 Elm St, Suite 4, Camden, ME 04843-1904 |
Kristie Jean Murphy | Nurse Practitioner | Hope Health PC | 77 Elm St, Suite 4, Camden, ME 04843-1904 |
Brien Davis | Nurse Practitioner | Hope Health PC | 77 Elm St, Suite 4, Camden, ME 04843-1904 |
Heather Reed Smith | Family Practice | Hope Health PC | 77 Elm St, Suite 4, Camden, ME 04843-1904 |
Barbara C Davis | Clinical Social Worker | 91 Elm St, Camden, ME 04843-1906 | |
Carlton D Johnstone | Chiropractic | 49 Elm St, Camden, ME 04843-1910 | |
Jan E Summers | Clinical Social Worker | 69 Elm St, Suite 103, Camden, ME 04843-1954 | |
Find all physicians in zip 04843 |
City | CAMDEN |
Zip Code | 04843 |
Specialty | PHYSICAL MEDICINE AND REHABILITATION |
City + Specialty | CAMDEN + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Susan M Hage.
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.