Kellie Ann P Goudreau (NPI# 1235410515, PAC ID# 6103099346) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1235410515 |
| PAC ID by PECOS | 6103099346 |
| Professional Enrollment ID | I20180413001399 |
| Full Name | Kellie Ann P Goudreau |
| Organization Legal Name | MERCY HOSPITAL |
| Address |
40 Park Rd Westbrook ME 04092-3188 |
| Phone Number | 2078578174 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6103737812 |
| Number of Group Practice Members | 203 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200008 | MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 144 State St, Portland, ME 04101-3776 | 2078793190 | MERCY HOSPITAL |
| 175 Fore River Pkwy, Portland, ME 04102-2779 | 2078793000 | MERCY HOSPITAL |
| 40 Park Rd, Westbrook, ME 04092-3188 | 2078578174 | MERCY HOSPITAL |
| Organization Legal Name | MERCY HOSPITAL |
| Physicians | 199 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Catherine Sanders | Nurse Practitioner | Mercy Hospital | 409 Roosevelt Trl, Windham, ME 04062-4821 |
| Molly Omalley | Family Medicine | Mercy Hospital | 385 Route 1, Yarmouth, ME 04096-6729 |
| Regina Y Kim | Family Medicine | Mercy Hospital | 75 Gray Rd, Falmouth, ME 04105-2010 |
| Brian D Moore | Hospitalist | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| Melissa N Libby | Nurse Practitioner | Mercy Hospital | 19 S Gorham Xing, Gorham, ME 04038-2690 |
| Marc S Hoffman | Emergency Medicine | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| James J Richard | Nurse Practitioner | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| Ben L Russell | General Surgery | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| Danielle J Wood | Physician Assistant | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| John Mladucky | Physician Assistant | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| Street Address |
40 PARK RD |
| City | WESTBROOK |
| State | ME |
| Zip | 04092-3188 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian D Moore | Hospitalist | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| Marc S Hoffman | Emergency Medicine | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| James J Richard | Nurse Practitioner | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| Ben L Russell | General Surgery | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| Danielle J Wood | Physician Assistant | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| John Mladucky | Physician Assistant | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| Helen M Soule | Hospice/palliative Care | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| Joseph Foley Scrobola | Hospitalist | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| Susan C Thompson | Nurse Practitioner | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| Abigail M Waite | Certified Registered Nurse Anesthetist (crna) | Mercy Hospital | 40 Park Rd, Westbrook, ME 04092-3188 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Echo Dixon | Clinical Social Worker | 19 Lucille St, Westbrook, ME 04092-2710 | |
| Vicki L Gayton | Clinical Social Worker | 836 Main St, Westbrook, ME 04092-2861 | |
| Julie Holden | Clinical Social Worker | 836 Main St, Westbrook, ME 04092-2861 | |
| Christopher Neault | Physical Therapy | Saco Bay Orthopaedic and Sports Physical Therapy Inc | 869 Main St, Westbrook, ME 04092-2867 |
| Ryan B Cyr | Physical Therapy | Saco Bay Orthopaedic and Sports Physical Therapy Inc | 869 Main St, Westbrook, ME 04092-2867 |
| Michelle Frazier | Physical Therapy | Saco Bay Orthopaedic and Sports Physical Therapy Inc | 869 Main St, Westbrook, ME 04092-2867 |
| Ashley R Foley | Physical Therapy | Saco Bay Orthopaedic and Sports Physical Therapy Inc | 869 Main St, Westbrook, ME 04092-2867 |
| Erica N Green | Clinical Social Worker | 825 Main St, Suite 4, Westbrook, ME 04092-2873 | |
| Linford J Stillson | Internal Medicine | 825 Main St, Suite 1, Westbrook, ME 04092-2873 | |
| Benedetto J Nappi | Psychologist, Clinical | 825 Main St, Suite 4, Westbrook, ME 04092-2873 | |
| Find all physicians in zip 04092 | |||
| City | WESTBROOK |
| Zip Code | 04092 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WESTBROOK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kellie Ann P Goudreau.
| 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.