Richard P Beauchesne, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Rockport, ME
NPI 1245274604 · NPPES record last updated Sep 24, 2010
Key facts
- NPI
- 1245274604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 014086 (ME)
- Practice address
- 4 Glen Cove Dr
Suite 206
Rockport, ME 04856-4235 - Phone
- (207) 593-5454
- Fax
- (207) 593-5353
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| I20160125000659 | ME | Order and Referring Only - Orthopedic Surgery |
9436186145 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014086 | ME | MD | Orthopaedic Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 014086 | ME | Yes |
Addresses
Primary practice location
4 Glen Cove Dr
Suite 206
Rockport, ME 04856-4235
Mailing address
4 Glen Cove Dr
Suite 206
Rockport, ME 04856-4235
Phone (207) 593-5454
Other providers in Rockport, ME
- Jenny Lee Barrett-Hibl
- Bobbi Barrows
- Diane Jean Batley
- Jennifer Marie Batterman
- Whitney Leigh Baudanza-Sturks
- Susan Bell
- Abby Mae Bellmore
- Megan Marie Berman
- Kirk Patrick Bernadino
- Brenda K Berry
All providers in Rockport, ME · Orthopaedic Surgery 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 24, 2010. 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.