Aimee J Beaton, DO
Individual provider Active NPI Pediatrics Physician · Bangor, ME
NPI 1245650605 · NPPES record last updated May 4, 2021
Key facts
- NPI
- 1245650605
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- DO2797 (ME)
- Practice address
- 6 Telcom Dr
Bangor, ME 04401-3072 - Phone
- (207) 947-0147
- Fax
- (207) 990-3365
- NPI assigned
- Apr 23, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Penobscot Community Health Center
Practice addresses (Care Compare)
1012 Union St
Bangor, ME 04401-3058
6 Telcom Dr
Bangor, ME 04401-3072
992 Union St
Bangor, ME 04401-3057
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 |
|---|---|---|---|---|
| I20180712001584 | ME | Practitioner - Pediatric Medicine | 4880993682 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penobscot Community Health Center | Current |
Accepting new patients | |
| Penobscot Community Health Center | Current | Accepting new patients | |
| Penobscot Community Health Center | Current |
Accepting new patients |
Locations
6 Telcom Dr
Bangor, ME 04401
Phone (207) 941-2850
1068 Union St
Bangor, ME 04401
Phone (207) 404-8181
6 Telcom Dr
Fl 2
Bangor, ME 04401
Phone (207) 947-0147
1012 Union St
Ste 1
Bangor, ME 04401
Phone 2079455247407
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | DO2797 | ME | Yes |
Addresses
Primary practice location
6 Telcom Dr
Bangor, ME 04401-3072
Mailing address
PO Box 1599
Bangor, ME 04402-1599
Phone (207) 404-8200
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2021. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.