Charles Roberts (NPI# 1295884716, PAC ID# 5799920211) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1295884716 |
| PAC ID by PECOS | 5799920211 |
| Professional Enrollment ID | I20130403000369 |
| Full Name | Charles Roberts |
| Organization Legal Name | PENOBSCOT COMMUNITY HEALTH CENTER |
| Address |
992 Union St Bangor ME 04401-3057 |
| Phone Number | 2079922601 |
| Gender | M |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| 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 |
|---|---|---|
| 1012 Union St, Suite 3, Bangor, ME 04401-3058 | 2074048040 | PENOBSCOT COMMUNITY HEALTH CENTER |
| 992 Union St, Bangor, ME 04401-3057 | 2079922601 | PENOBSCOT COMMUNITY HEALTH CENTER |
| 992 Union St, Suite J, Bangor, ME 04401-3057 | 2079922336 | PENOBSCOT COMMUNITY HEALTH CENTER |
| 242 Brunswick St, Old Town, ME 04468-1613 | 2078276128 | 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 |
992 UNION ST |
| City | BANGOR |
| State | ME |
| Zip | 04401-3057 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth G Nadeau | Physician Assistant | Penobscot Community Health Center | 992 Union St, Bangor, ME 04401-3057 |
| David Pa-c Wade | Physician Assistant | Penobscot Community Health Center | 992 Union St, Bangor, ME 04401-3057 |
| Amy Langley | Nurse Practitioner | Penobscot Community Health Center | 992 Union St, Bangor, ME 04401-3057 |
| George L Case | Nurse Practitioner | Penobscot Community Health Center | 992 Union St, Bangor, ME 04401-3057 |
| Lisa Carroll | Nurse Practitioner | Penobscot Community Health Center | 992 Union St, Bangor, ME 04401-3057 |
| Leane M Cyr | Nurse Practitioner | Penobscot Community Health Center | 992 Union St, Bangor, ME 04401-3057 |
| Anna N Babiarz | Physician Assistant | Penobscot Community Health Center | 992 Union St, Bangor, ME 04401-3057 |
| Mellisa A Bernardini | Registered Dietitian Or Nutrition Professional | Penobscot Community Health Center | 992 Union St, Bangor, ME 04401-3057 |
| Emily A Downs | Physician Assistant | Penobscot Community Health Center | 992 Union St, Bangor, ME 04401-3057 |
| Lisa Buschlen | Physician Assistant | Penobscot Community Health Center | 992 Union St, Bangor, ME 04401-3057 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karie Anne Davis | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Elizabeth A Brewer | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Heidi Lee Niles | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Ashley Diane Philibert | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Jaimee Leigh Perry | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Matthew Timothy Soucy | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Michael James Strahan | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Karen E Mitchell | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Ann M Covey | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Susan Allen | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Find all physicians in zip 04401 | |||
| City | BANGOR |
| Zip Code | 04401 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BANGOR + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Charles Roberts.
| 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.