Amanda M Young (NPI# 1578791760, PAC ID# 8921151374) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1578791760 |
| PAC ID by PECOS | 8921151374 |
| Professional Enrollment ID | I20090801000051 |
| Full Name | Amanda M Young |
| Organization Legal Name | HOSPITAL ADMINISTRATIVE DISTRICT 4 |
| Address |
135 Park St Milo ME 04463-1729 |
| Phone Number | 2079437752 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6305755141 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 201309 | MAYO REGIONAL HOSPITAL |
| 200001 | ST JOSEPH HOSPITAL |
| 200033 | EASTERN MAINE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 135 Park St, Milo, ME 04463-1729 | 2079437752 | HOSPITAL ADMINISTRATIVE DISTRICT 4 |
| Organization Legal Name | HOSPITAL ADMINISTRATIVE DISTRICT 4 |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah E Simerly | Nurse Practitioner | Hospital Administrative District 4 | 897 W Main St, Dover Foxcroft, ME 04426-1029 |
| Abhijit S Shaligram | General Surgery | Hospital Administrative District 4 | 891 W Main St, Suite 500, Dover Foxcroft, ME 04426-1064 |
| Jennifer W Taylor | Nurse Practitioner | Hospital Administrative District 4 | 492 Main St, Corinth, ME 04427-3273 |
| Robert J Lodato | Internal Medicine | Hospital Administrative District 4 | 41 High St, Dexter, ME 04930-1311 |
| Lisa V Pelkey | Nurse Practitioner | Hospital Administrative District 4 | 897 W Main St, Dover Foxcroft, ME 04426-1029 |
| Lisa M Stout | Family Medicine | Hospital Administrative District 4 | 891 W Main St, Suite 500, Dover Foxcroft, ME 04426-1064 |
| Karen E Dow | Certified Registered Nurse Anesthetist (crna) | Hospital Administrative District 4 | 891 W Main St, Suite 500, Dover Foxcroft, ME 04426-1064 |
| Lori M Towne | Nurse Practitioner | Hospital Administrative District 4 | 891 W Main St, Suite 500, Dover Foxcroft, ME 04426-1064 |
| Jeyashree M Boardway | Physician Assistant | Hospital Administrative District 4 | 492 Main St, Corinth, ME 04427-3273 |
| Peter Martin Vanden Berg | General Surgery | Hospital Administrative District 4 | 897 W Main St, Dover Foxcroft, ME 04426-1029 |
| Street Address |
135 PARK ST |
| City | MILO |
| State | ME |
| Zip | 04463-1729 |
| City | MILO |
| Zip Code | 04463 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MILO + PHYSICIAN ASSISTANT |
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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.