Henry H Atkins, MD

Individual provider Active NPI Family Medicine Physician · Brewer, ME

NPI 1851397293 · NPPES record last updated Apr 30, 2024

Key facts

NPI
1851397293
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
009174 (ME)
Practice address
735 Wilson St
Brewer, ME 04412
Phone
(207) 945-5247
Fax
(207) 990-1248
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 IDStateProvider typePAC IDDetails
I20240909002871 ME Order and Referring Only - Hospice/Palliative Care
Practitioner - Hospice/Palliative Care
8628960002

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
009174MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Medical Associates, PA Family Medicine Past
since Sep 17, 1982
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 009174 ME Yes

Addresses

Primary practice location

735 Wilson St
Brewer, ME 04412

Mailing address

3 Old Sloop Lane
Bath, ME 04530-2912
Phone (207) 319-0415

Other identifiers

IdentifierTypeStateIssuer
1042020OtherMEAETNA HMO
5688247OtherMEAETNA POS
080096277OtherMERAILROAD MEDICARE
275580099MedicaidME

Other providers in Brewer, ME

All providers in Brewer, ME · Family Medicine Physician in Maine

Sources for this page

Verify at the official NPI Registry.