Pamela J Koenig (NPI# 1376548446, PAC ID# 1052317625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1376548446 |
| PAC ID by PECOS | 1052317625 |
| Professional Enrollment ID | I20111108000485 |
| Full Name | Pamela J Koenig |
| Organization Legal Name | EASTPORT HEALTH CARE, INC. |
| Address |
30 Boynton St Eastport ME 04631-1306 |
| Phone Number | 2078536001141 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1990 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3577592880 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 201305 | CALAIS REGIONAL HOSPITAL |
| 201311 | DOWN EAST COMMUNITY HOSPITAL |
| 200001 | ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 30 Boynton St, Eastport, ME 04631-1306 | 2078536001141 | EASTPORT HEALTH CARE, INC. |
| Organization Legal Name | EASTPORT HEALTH CARE, INC. |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Arturo Simmons | Podiatry | Eastport Health Care, Inc. | 30 Boynton St, Eastport, ME 04631-1306 |
| Susan L Luthin | Family Medicine | Eastport Health Care, Inc. | 30 Boynton St, Eastport, ME 04631-1306 |
| Lisa M Jacobs | Nurse Practitioner | Eastport Health Care, Inc. | 30 Boynton St, Eastport, ME 04631-1306 |
| Ann E Obrien | Nurse Practitioner | Eastport Health Care, Inc. | 30 Boynton St, Eastport, ME 04631-1306 |
| Patricia J Todd Lewis | Clinical Social Worker | Eastport Health Care, Inc. | 30 Boynton St, Eastport, ME 04631-1306 |
| Cynthia Sammis | Family Medicine | Eastport Health Care, Inc. | 30 Boynton St, Eastport, ME 04631-1306 |
| Christine F Bubar | Clinical Social Worker | Eastport Health Care, Inc. | 30 Boynton St, Eastport, ME 04631-1306 |
| Laurie A Churchill | Family Medicine | Eastport Health Care, Inc. | 30 Boynton St, Eastport, ME 04631-1306 |
| Ryan M Smith | Psychiatry | Eastport Health Care, Inc. | 30 Boynton St, Eastport, ME 04631-1306 |
| Street Address |
30 BOYNTON ST |
| City | EASTPORT |
| State | ME |
| Zip | 04631-1306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Arturo Simmons | Podiatry | Eastport Health Care, Inc. | 30 Boynton St, Eastport, ME 04631-1306 |
| Susan L Luthin | Family Medicine | Eastport Health Care, Inc. | 30 Boynton St, Eastport, ME 04631-1306 |
| Janet M Case | Physical Therapy | Calais Regional Hospital | 30 Boynton St, Eastport, ME 04631-1306 |
| Lisa M Jacobs | Nurse Practitioner | Eastport Health Care, Inc. | 30 Boynton St, Eastport, ME 04631-1306 |
| Ann E Obrien | Nurse Practitioner | Eastport Health Care, Inc. | 30 Boynton St, Eastport, ME 04631-1306 |
| Patricia J Todd Lewis | Clinical Social Worker | Eastport Health Care, Inc. | 30 Boynton St, Eastport, ME 04631-1306 |
| Cynthia Sammis | Family Medicine | Eastport Health Care, Inc. | 30 Boynton St, Eastport, ME 04631-1306 |
| Christine F Bubar | Clinical Social Worker | Eastport Health Care, Inc. | 30 Boynton St, Eastport, ME 04631-1306 |
| Laurie A Churchill | Family Medicine | Eastport Health Care, Inc. | 30 Boynton St, Eastport, ME 04631-1306 |
| Ryan M Smith | Psychiatry | Eastport Health Care, Inc. | 30 Boynton St, Eastport, ME 04631-1306 |
| Find all physicians in the same address | |||
| City | EASTPORT |
| Zip Code | 04631 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EASTPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Pamela J Koenig.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.