Carrie Thackeray (NPI# 1801903406, PAC ID# 7214989565) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1801903406 |
| PAC ID by PECOS | 7214989565 |
| Professional Enrollment ID | I20050215000214 |
| Full Name | Carrie Thackeray |
| Organization Legal Name | MAINEHEALTH |
| Address |
6 Glen Cove Dr Rockport ME 04856-4273 |
| Phone Number | 2079218000 |
| Gender | F |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7517860588 |
| Number of Group Practice Members | 1115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200063 | PENOBSCOT BAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6 Glen Cove Dr, Rockport, ME 04856-4273 | 2079218000 | MAINEHEALTH |
| 7 Madelyn Ln, Suite 200, Rockport, ME 04856-4460 | 2079215900 | MAINEHEALTH |
| Organization Legal Name | MAINEHEALTH |
| Physicians | 929 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Williams | Nurse Practitioner | Mainehealth | 79 Schooner St, Suite 1, Damariscotta, ME 04543-4051 |
| Leslie W Bray | Nurse Practitioner | Mainehealth | 2399 Atlantic Hwy, Lincolnville, ME 04849-5322 |
| Kathryn E Hassett | Clinical Social Worker | Mainehealth | 48 Gilman St, Portland, ME 04102-3004 |
| Robert A Toscano | Psychiatry | Mainehealth | 165 Lancaster St, Portland, ME 04101-2406 |
| Robert E Grondahl | Obstetrics/gynecology | Mainehealth | 16 Fahy St, Suite 108, Belfast, ME 04915-6029 |
| Kailee O D'angelo | Nurse Practitioner | Mainehealth | 13 Industrial Park Rd, Saco, ME 04072-1804 |
| Deena M Ryan | Nurse Practitioner | Mainehealth | 2 Livewell Dr, Kennebunk, ME 04043-6762 |
| Christian M Basque | Sports Medicine | Mainehealth | 46 Barra Rd, Biddeford, ME 04005-9461 |
| Peter Rubin | Hematology/oncology | Mainehealth | 26 W Cole Rd, 102 Smhc Cancer Care and Blood Disorders, Biddeford, ME 04005-9407 |
| James P Lepich | Nurse Practitioner | Mainehealth | 193 Main St, Norway, ME 04268-5645 |
| Street Address |
6 GLEN COVE DR |
| City | ROCKPORT |
| State | ME |
| Zip | 04856-4273 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul F Barresi | Anesthesiology | Penbay Anesthesia, LLC | 6 Glen Cove Dr, Rockport, ME 04856-4273 |
| Richard E Evans | Anesthesiology | Penbay Anesthesia, LLC | 6 Glen Cove Dr, Rockport, ME 04856-4273 |
| David L Maddox | Anesthesiology | Penbay Anesthesia, LLC | 6 Glen Cove Dr, Rockport, ME 04856-4273 |
| Jeffrey J Landfair | Family Medicine | Mainehealth | 6 Glen Cove Dr, Rockport, ME 04856-4273 |
| Gerald F Westover | Internal Medicine | Penobscot Bay Physicians and Associates | 6 Glen Cove Dr, Rockport, ME 04856-4273 |
| Elizabeth J Drury | Nurse Practitioner | Penobscot Bay Medical Center | 6 Glen Cove Dr, Rockport, ME 04856-4273 |
| 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 |
| 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 | |
| Clyde A Watkins Jr. | Psychiatry | Penobscot Bay Medical Center | 756 Commercial St, Rockport, ME 04856-4201 |
| Chris J Michalakes | Emergency Medicine | Penobscot Bay Medical Center | 756 Commercial St, Rockport, ME 04856-4201 |
| 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 |
| Find all physicians in zip 04856 | |||
| City | ROCKPORT |
| Zip Code | 04856 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ROCKPORT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Carrie Thackeray.
| 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.