Convenientmd - FFS UC LLC
Organization Active NPI Urgent Care Clinic/Center · Ellsworth, ME
NPI 1780375220 · NPPES record last updated Jul 31, 2023
Key facts
- NPI
- 1780375220
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- CONVENIENTMD - FFS UC LLC
- Practice address
- 235 High St
Ellsworth, ME 04605-1715 - Phone
- (207) 412-5200
- NPI assigned
- May 16, 2023
- Organization subpart
- No
Authorized official
- Name
- Jarod Boissonneault
- Title
- VP, Revenue Cycle MGT
- Phone
- (603) 410-6700
Other NPIs on the same Medicare enrollment 10
Other NPIs with the same Medicare PAC ID 2
Practitioners 462
-
Jean Marie Ball, FNP
-
Kelsea Beisaw, FNP-C
-
Robyn Bird, AGPCNP
-
Rachel G Burke, DO
-
Rocio Veronica Carbona, PA-C
-
Amanda Dahlgren, FNP-C
-
Kaylen Marie Dowe, FNP-BC
-
Jessie Daley Eklund, FNP-C
-
Anne M Gaspar, FNP
-
Chloe White Hanson, FNP-BC
-
Taylor J Haun, PA-C
-
Kristy L Hilton, CNP
-
Louise Y Langlais, FNP
-
Allison Leclair, FNP-BC
-
Meryl Richardson Levesque, FNP-BC
-
Jeremy James Libby, FNP-C
-
Michelle Longar, FNP
-
Christy L. Madore, NP-C
-
Rachel H Matusko, FNP-C
-
Emily L McCue, FNP-BC
-
Kimberly McGraw, FNP-BC, EMT-P, LMT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230803000124 | ME | Part B Supplier - Clinic/Group Practice | 5193186492 |
Receives reassigned benefits from 167 practitioners 10 other NPIs on this enrollment Practice locations: Portland, ME; Westbrook, ME; Sanford, ME; Saco, ME; Farmington, ME; Ellsworth, ME; Brunswick, ME; Belfast, ME… |
National Provider Directory
Locations
1420 Main St
Sanford, ME 04073
Phone (207) 850-5744
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
235 High St
Ellsworth, ME 04605-1715
Mailing address
111 NH Ave
Portsmouth, NH 03801-2864
Phone (603) 410-6700
Other providers in Ellsworth, ME
- David Coffman
- Rachael Jean Cohen
- Emily Colligan
- Mary M Collins
- Barbara Conry
- Convenientmd LLC
- Peter Copithorne
- David Anthony Cornetta
- Suzanne Costallos
- Alison L Cote
All providers in Ellsworth, ME · Urgent Care Clinic/Center in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2023. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.