Cameron Grange, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD20591 Issued in ME

Practice address

12 Bolduc Ave
Fort Kent, ME 04743-1602

Phone

(207) 834-3971

Fax

(207) 834-3837

NPI assigned

Jun 24, 2010

Last updated

Mar 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fish River Rural HealthGroup PAC ID 3577531953, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Light Home Care & Hospice Home health agency, So Portland, ME, CCN 207020
• Northern Light Home Care & Hospice Hospice, South Portland, ME, CCN 201502
• Northern Maine Medical Center Hospital, Fort Kent, ME, CCN 201317
• Northern Light a R Gould Hospital Hospital, Presque Isle, ME, CCN 200018

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cameron.grange.1@10077.direct.athenahealth.com
• Direct secure messaging: cgrange@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fish River Rural Health

  • Federally Qualified Health Center (FQHC)
  • Fort Kent, ME
  • NPI 1174741094
  Medicare reassignment Care Compare group NPD
• Northern Maine Medical Center

  • Critical Access Hospital
  • Fort Kent, ME
  • NPI 1568465144
  Medicare reassignment NPD
• Fish River Rural Health

  • Federally Qualified Health Center (FQHC)
  • Van Buren, ME
  • NPI 1528608437
  NPD
• Northern Maine Medical Center

  dba St John Valley Pharmacy

  • Community/Retail Pharmacy
  • Fort Kent, ME
  • NPI 1952303422
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northern Maine Medical Center

  dba NMMC Medical Office Building

  • Multi-Specialty Clinic/Center
  • Fort Kent, ME
  • NPI 1144073297

  Hospital

  Care Compare affiliation
• Northern Maine Medical Center

  • Multi-Specialty Clinic/Center
  • Madawaska, ME
  • NPI 1285487330

  Hospital

  Care Compare affiliation
• Northern Maine Medical Center

  • Critical Access Hospital
  • Fort Kent, ME
  • NPI 1568465144
  Care Compare affiliation
• The Aroostook Medical Center

  dba Northern Light A.R. Gould Hospital

  • General Acute Care Hospital
  • Presque Isle, ME
  • NPI 1396858999
  Care Compare affiliation
• Vna Home Health & Hospice

  dba Northern Light Home Care & Hospice

  • Home Health Agency
  • South Portland, ME
  • NPI 1245236306
  Care Compare affiliation
• Vna Home Health & Hospice

  dba Northern Light Home Care & Hospice

  • Community Based Hospice Care Agency
  • South Portland, ME
  • NPI 1578683280
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1023329000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BOLDUC AVE",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431602",
            "telephone_number": "207-834-3971",
            "fax_number": "207-834-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BOLDUC AVE",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431602",
            "telephone_number": "207-834-3971",
            "fax_number": "207-834-3837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Saint Thomas St Ste 213",
            "address_purpose": "LOCATION",
            "city": "Madawaska",
            "state": "ME",
            "postal_code": "047561278",
            "country_code": "US",
            "telephone_number": "207-728-3971",
            "fax_number": "207-728-3970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANGE",
        "first_name": "CAMERON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD20591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fish River Rural Health
• Fish River Rural Health
• John Dennis Fitzgerald, RPH
• Robert J. Gendreau, CRNA
• Shawn Edward Graham
• John Andrew Hallberg, MD
• James Vincent Harris, MD
• Hugh A Hartman Jr., PHARMACIST
• Kristin MG Hartt, MD
• Peyton Lee Hebert, LCPC

• Family Medicine Physician in Fort Kent, ME
• Providers in Fort Kent, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.