Active NPI
Pamela Joyce Wansker, DO
- Family Medicine Physician
- Greene, ME
National Provider Identifier
1669470969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1037
- Practice address
- 344 Route 202
Box 539
Greene, ME 04236-4208 - Phone
- (207) 946-5444
- Fax
- (207) 946-2544
- NPI assigned
- Jul 11, 2005
- Last updated
- Dec 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1037 | ME | Primary |
Addresses
Primary practice location
344 Route 202
Box 539
Greene, ME 04236-4208
Mailing address
85 Lakeside Dr
Falmouth, ME 04105-2486
Phone (207) 878-3479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113760000 | Medicaid | ME |
Other names 1
- Dr. Pamela Joyce Wansker II
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080523000246 | ME | Practitioner - Family Practice | 0244309706 | Practice locations: Greene, ME |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
344 Route 202
Greene, ME 04236-4208
Phone (207) 946-5444
PO Box
Suite 539
Greene, ME 04236-0539
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1037 | ME | MD | Family Medicine Physician |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1669470969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 LAKESIDE DR",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "041052486",
"telephone_number": "207-878-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 ROUTE 202",
"address_2": "BOX 539",
"city": "GREENE",
"state": "ME",
"postal_code": "042364208",
"telephone_number": "207-946-5444",
"fax_number": "207-946-2544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANSKER",
"first_name": "PAMELA",
"middle_name": "JOYCE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-11",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "1037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113760000",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "WANSKER",
"middle_name": "JOYCE",
"prefix": "DR.",
"suffix": "II",
"credential": "DO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Greene, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.