Daniel A Jackson (NPI# 1215950506, PAC ID# 3779599428) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1215950506 |
| PAC ID by PECOS | 3779599428 |
| Professional Enrollment ID | I20060303000665 |
| Full Name | Daniel A Jackson |
| Organization Legal Name | CENTRAL MAINE CLINICAL ASSOCIATES CORPORATION |
| Address |
77 Bates St Suite 101 Lewiston ME 04240-7637 |
| Phone Number | 2077952929 |
| Gender | M |
| Credential | MD |
| Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | RHEUMATOLOGY |
| Group Practice PAC ID | 1850321811 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200024 | CENTRAL MAINE MEDICAL CENTER |
| 201310 | BRIDGTON HOSPITAL |
| 201315 | STEPHENS MEMORIAL HOSPITAL |
| 201306 | RUMFORD HOSPITAL |
| 200037 | FRANKLIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 77 Bates St, Suite 101, Lewiston, ME 04240-7637 | 2077952929 | CENTRAL MAINE CLINICAL ASSOCIATES CORPORATION |
| 3 Evergreen Dr, Oakland, ME 04963-5364 | 2078619355 | CENTRAL MAINE CLINICAL ASSOCIATES CORPORATION |
| Organization Legal Name | CENTRAL MAINE CLINICAL ASSOCIATES CORPORATION |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Swasey | Physical Therapy | Central Maine Clinical Associates Corporation | 312 Mayville Rd, Bethel, ME 04217-4405 |
| Jennifer S Sullivan | Nurse Practitioner | Central Maine Clinical Associates Corporation | 77 Bates St, Suite 101, Lewiston, ME 04240-7637 |
| Jennifer Gillies | Nurse Practitioner | Central Maine Clinical Associates Corporation | 593 Ctr St, Auburn, ME 04210-6323 |
| Jeremy Nash | Physical Therapy | Central Maine Clinical Associates Corporation | 4 Meserve St, Naples, ME 04055-5348 |
| Eric J Caccamo | Family Medicine | Central Maine Clinical Associates Corporation | 3 Evergreen Dr, Oakland, ME 04963-5364 |
| Bradford Blanchard | Physical Therapy | Central Maine Clinical Associates Corporation | 364 Main St, Lewiston, ME 04240-7029 |
| Heidi G Dening | Physical Therapy | Central Maine Clinical Associates Corporation | 3 Evergreen Dr, Oakland, ME 04963-5364 |
| Sean D Stanhope | Rheumatology | Central Maine Clinical Associates Corporation | 77 Bates St, Suite 101, Lewiston, ME 04240-7637 |
| Paige J Lapointe | Physician Assistant | Central Maine Clinical Associates Corporation | 593 Ctr St, Auburn, ME 04210-6323 |
| Katharine B Mcnutt | Nurse Practitioner | Central Maine Clinical Associates Corporation | 3 Evergreen Dr, Oakland, ME 04963-5364 |
| Street Address |
77 BATES ST SUITE 101 |
| City | LEWISTON |
| State | ME |
| Zip | 04240-7637 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer S Sullivan | Nurse Practitioner | Central Maine Clinical Associates Corporation | 77 Bates St, Suite 101, Lewiston, ME 04240-7637 |
| Sean D Stanhope | Rheumatology | Central Maine Clinical Associates Corporation | 77 Bates St, Suite 101, Lewiston, ME 04240-7637 |
| Benjamin N Stein | Gastroenterology | Central Maine Medical Center | 77 Bates St, Suite 202, Lewiston, ME 04240-7637 |
| Sean E Mcgarr | Internal Medicine | Central Maine Medical Center | 77 Bates St, Suite 202, Lewiston, ME 04240-7637 |
| Sara Dayon | Nurse Practitioner | Central Maine Medical Center | 77 Bates St, Suite 202, Lewiston, ME 04240-7637 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard M Nadeau | Chiropractic | 1761 N Lisbon Rd, Suite 3, Lewiston, ME 04240-1411 | |
| Sheena N Marichal | Physical Therapy | Head To Toe Physical Therapy | 1977 Lisbon Rd, Lewiston, ME 04240-1415 |
| Glison Angela Smith | Physical Therapy | Head To Toe Physical Therapy | 1977 Lisbon Rd, Lewiston, ME 04240-1415 |
| Karen E Krzywda | Physical Therapy | Head To Toe Physical Therapy | 1977 Lisbon Rd, Lewiston, ME 04240-1415 |
| Rachel A Mcgarry | Registered Dietitian Or Nutrition Professional | Maine Medical Partners | 963 Sabattus St, Lewiston, ME 04240-3332 |
| Philip A Mclean | Chiropractic | 1485 Lisbon St, Lewiston, ME 04240-3522 | |
| Jason Eric Davis | Chiropractic | 16 Highland Spring Rd, Lewiston, ME 04240-3856 | |
| Bryce K Cropper | Qualified Audiologist | H.e.a.r., Inc., P.a. | 475 Pleasant St, Suite 11, Lewiston, ME 04240-3951 |
| Abagail B Forcier | Qualified Audiologist | H.e.a.r., Inc., P.a. | 475 Pleasant St, Suite 11, Lewiston, ME 04240-3951 |
| John E. Yeomans | Clinical Social Worker | 571 Sabattus St, Suite 11, Lewiston, ME 04240-4156 | |
| Find all physicians in zip 04240 | |||
| City | LEWISTON |
| Zip Code | 04240 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | LEWISTON + RHEUMATOLOGY |
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| 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.