Individual provider Active NPI

Pamela Joyce Wansker, DO

  • Family Medicine Physician
  • Greene, ME
National Provider Identifier
1669470969
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1037 Issued in ME
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
113760000MedicaidME

Other names 1

  • Dr. Pamela Joyce Wansker II Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1037MEMDFamily Medicine Physician

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.