Amy K Etzweiler, MD
Individual provider Active NPI Internal Medicine Physician · Bath, ME
NPI 1568469401 · NPPES record last updated Apr 3, 2018
Key facts
- NPI
- 1568469401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 016150 (ME)
- Practice address
- 108 Centre St
Bath, ME 04530-2550 - Phone
- (207) 386-1800
- Fax
- (207) 386-1801
- NPI assigned
- Jul 7, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 40
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mainehealth
Practice addresses (Care Compare)
108 Centre St
Bath, ME 04530-2550
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
49 Hooper St
Wiscasset, ME 04578-4053
Phone (207) 882-7911
Hospital & facility affiliations
- Mainehealth Chans Home Health and Hospice
- Chans Home Health & Hospice
- Mainehealth Mid Coast Hospital
- Lincolnhealth
- Mainehealth Maine Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
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 |
|---|---|---|---|---|
| I20040723000975 | ME | Practitioner - Internal Medicine | 8224018775 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016150 | ME | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Internal Medicine | Past | Accepting new patients |
Locations
108 Centre St
Bath, ME 04530
Phone (207) 386-1800
108 Centre St
#200
Bath, ME 04530
Phone (207) 386-1800
123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800
5 Miles Center Way
#U
Damariscotta, ME 04543
Phone (207) 563-4250
5 Miles Center Way
Unit 1
Damariscotta, ME 04543
Phone (207) 563-4250
35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
1 Wellness Way
Ste A
Topsham, ME 04086
Phone (207) 386-1808
Interoperability endpoints
- aetzweiler740@direct.mmc.mainehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 016150 | ME | Yes |
Addresses
Primary practice location
108 Centre St
Bath, ME 04530-2550
Mailing address
108 Centre St
Bath, ME 04530-2550
Phone (207) 386-1800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10655701 | Other | CAQH |
Other providers in Bath, ME
- Michael Dougan
- Margaret Lynn Duhamel
- David Howard Dumont
- Cody L Eaton
- Elmhurst, Inc
- Jennifer Connor Faherty
- David A Faigin
- Family Focus
- Carol Jean Farrar
- James Francis Ewing Ferry
All providers in Bath, ME · Internal 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 Apr 3, 2018. 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.