Patrice Thibodeau (NPI# 1902992308, PAC ID# 5799724399) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1902992308 |
| PAC ID by PECOS | 5799724399 |
| Professional Enrollment ID | I20050503000004 |
| Full Name | Patrice Thibodeau |
| Organization Legal Name | ST MARYS REGIONAL MEDICAL CENTER |
| Address |
99 Campus Ave Suite 201 Lewiston ME 04240-6045 |
| Phone Number | 2077778810 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0042107120 |
| Number of Group Practice Members | 188 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200034 | ST MARYS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 99 Campus Ave, Suite 201, Lewiston, ME 04240-6045 | 2077778810 | ST MARYS REGIONAL MEDICAL CENTER |
| Organization Legal Name | ST MARYS REGIONAL MEDICAL CENTER |
| Physicians | 193 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corinna M Campbell | Nurse Practitioner | St Marys Regional Medical Center | 791 Turner St, Unit 2, Auburn, ME 04210-6314 |
| Colleen M Shula | Nurse Practitioner | St Marys Regional Medical Center | 2 Great Falls Plz, Suite 21, Auburn, ME 04210-5966 |
| Erica J Richards | Certified Nurse Midwife (cnm) | St Marys Regional Medical Center | 330 Sabattus St, Lewiston, ME 04240-5553 |
| Jordan A Albair | Nurse Practitioner | St Marys Regional Medical Center | 1230 Maine St, Poland, ME 04274-7325 |
| Nan Boucher | Nurse Practitioner | St Marys Regional Medical Center | 99 Campus Ave, Suite 201, Lewiston, ME 04240-6045 |
| Gregory C Pomeroy | Orthopedic Surgery | St Marys Regional Medical Center | 117 Auburn St, Portland, ME 04103-6003 |
| Stephan O Bamberger | Physical Medicine and Rehabilitation | St Marys Regional Medical Center | 15 Gracelawn Rd, Auburn, ME 04210-6334 |
| Paul E Raczynski | Internal Medicine | St Marys Regional Medical Center | 3 Willow Run, Auburn, ME 04210-8501 |
| Jeffrey S Michaud | Family Medicine | St Marys Regional Medical Center | 15 Mollison Way, Lewiston, ME 04240-5805 |
| Mary C Fahrenbach | Interventional Cardiology | St Marys Regional Medical Center | 93 Campus Ave, Suite G025, Lewiston, ME 04240-6030 |
| Street Address |
99 CAMPUS AVE SUITE 201 |
| City | LEWISTON |
| State | ME |
| Zip | 04240-6045 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nan Boucher | Nurse Practitioner | St Marys Regional Medical Center | 99 Campus Ave, Suite 201, Lewiston, ME 04240-6045 |
| Dashiell Jordan | Family Medicine | St Marys Regional Medical Center | 99 Campus Ave, Suite 201, Lewiston, ME 04240-6045 |
| Thomas L Moore | General Surgery | St Marys Regional Medical Center | 99 Campus Ave, Suite 401, Lewiston, ME 04240-6045 |
| Catherine E Oconnor | General Surgery | St Marys Regional Medical Center | 99 Campus Ave, Suite 401, Lewiston, ME 04240-6045 |
| Nathaniel J Anderson | Nurse Practitioner | St Marys Regional Medical Center | 99 Campus Ave, Suite 201, Lewiston, ME 04240-6045 |
| Michael L Parker | Urology | St Marys Regional Medical Center | 99 Campus Ave, Suite 401, Lewiston, ME 04240-6045 |
| Abby K Austin | Nurse Practitioner | Maine Medical Partners | 99 Campus Ave, Lewiston, ME 04240-6045 |
| Roberto J Vidri Alonso-rochi | General Surgery | St Marys Regional Medical Center | 99 Campus Ave, Suite 401, Lewiston, ME 04240-6045 |
| Candice A Hammerton | Nurse Practitioner | St Marys Regional Medical Center | 99 Campus Ave, Suite 401, Lewiston, ME 04240-6045 |
| Alison C Daigle | Neurology | St Marys Regional Medical Center | 99 Campus Ave, Suite 402, Lewiston, ME 04240-6045 |
| Find all physicians in the same address | |||
| 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 | INTERNAL MEDICINE |
| City + Specialty | LEWISTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Patrice Thibodeau.
| 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.