Emil Bukher, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Waterville, ME
NPI 1487601282 · NPPES record last updated Sep 16, 2008
Key facts
- NPI
- 1487601282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 49231 (ME)
- Practice address
- 67 Eustis Pkwy
Waterville, ME 04901-5173 - Phone
- (207) 873-2136
- Fax
- (207) 872-4522
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kennebec Valley Mental Health Center
Practice addresses (Care Compare)
67 Eustis Pkwy
Waterville, ME 04901-5173
Phone (207) 873-2136
Hospital & facility affiliations
- Maine General Medical Center
- Redington Fairview General Hospital
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051229000416 | ME | Practitioner - Nurse Practitioner | 7911929237 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49231 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennebec Valley Mental Health Center | Current |
Accepting new patients | |
| Sweetser | Past |
Accepting new patients | |
| Acadia Healthcare, Inc | Past | Accepting new patients | |
| Protea Behavioral Health Services | Past | Accepting new patients |
Locations
66 Stone St
Augusta, ME 04330
Phone (207) 626-3455
11 Caldwell Rd
Augusta, ME 04330
Phone (207) 623-7710
115 Mt Blue Cir
Farmington, ME 04938
Phone (207) 778-9664
5 Commerce Dr
Skowhegan, ME 04976
Phone (207) 474-8311
67 Eustis Pkwy
Waterville, ME 04901
Phone (207) 660-4549
736 Old Lewiston Rd
Winthrop, ME 04364
Phone (207) 377-8122
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 49231 | ME | Yes |
Addresses
Primary practice location
67 Eustis Pkwy
Waterville, ME 04901-5173
Mailing address
67 Eustis Pkwy
Waterville, ME 04901-5173
Phone (207) 873-2136
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431898299 | Medicaid | ME |
Other providers in Waterville, ME
- Russell Myers Brown
- Barbara Browne
- Jennifer Alice Browne
- Kelli Bryer
- Elaine Buckley
- Adam Burke
- Louise R Burns
- Michael J Bushey
- Tiffany Bussiere
- Adrienne Emily Butler
All providers in Waterville, ME · Psychiatric/Mental Health Nurse Practitioner 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 16, 2008. 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.