Karen Calcott, MD
Individual provider Active NPI Family Medicine Physician · Bucksport, ME
NPI 1124068986 · NPPES record last updated Sep 29, 2014
Key facts
- NPI
- 1124068986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD15665 (ME)
- Practice address
- 110 Broadway
Bucksport, ME 04416-4612 - Phone
- (207) 469-7371
- Fax
- (207) 469-7306
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260506001060 | ME | Order and Referring Only - Family Practice |
4587620224 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD15665 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Blue Hill Memorial Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD15665 | ME | Yes |
Addresses
Primary practice location
110 Broadway
Bucksport, ME 04416-4612
Mailing address
110 Broadway
Bucksport, ME 04416-4612
Phone (207) 469-7371
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7380254 | Other | ME | AETNA |
| 316450099 | Medicaid | ME | |
| MM901901 | Other | ME | MED B - PERS FOR PPC |
| AA67288 | Other | ME | HARVARD PILGRIM |
| 061541 | Other | ME | ANTHEM |
Other providers in Bucksport, ME
- Bucksport Regional Health Center
- Bucksport School Department
- Bucksport School Dept
- Elizabeth Bunker
- Jackie L Buotte
- Karen P Campbell
- Nancy Winn Cation
- Chambers Realty LLC
- Timothy Stephen Clifford Jr.
- Emma Cochrane
All providers in Bucksport, ME · Family Medicine Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.