Nicole R G Randall (NPI# 1023592771, PAC ID# 7618220328) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1023592771 |
| PAC ID by PECOS | 7618220328 |
| Professional Enrollment ID | I20181026000940 |
| Full Name | Nicole R G Randall |
| Address |
121 Main St Ellsworth ME 04605-1993 |
| Phone Number | 2076190561 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 201304 | MOUNT DESERT ISLAND HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 121 Main St, Ellsworth, ME 04605-1993 | 2076190561 |
| Street Address |
121 MAIN ST |
| City | ELLSWORTH |
| State | ME |
| Zip | 04605-1993 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark S Keisler | Ophthalmology | Palmetto Ophthalmology Associates, P.a. | 121 Main St, Leesville, SC 29070-8016 |
| John R Walters | Ophthalmology | Palmetto Ophthalmology Associates, P.a. | 121 Main St, Leesville, SC 29070-8016 |
| Andy Circelli | Chiropractic | 121 Main St, Whitehouse Station, NJ 08889-3726 | |
| Marilynn Acker Ezell | Optometry | 121 Main St, Jaffrey, NH 03452-6140 | |
| Mark J Sirninger | Chiropractic | 121 Main St, Whitehouse Station, NJ 08889-3726 | |
| David R Ionta | Chiropractic | 121 Main St, Suite 1, Esperance, NY 12066-3219 | |
| Claudia Orfao Martin | Clinical Social Worker | Odonata Psychotherapy and Retreat Center LLC | 121 Main St, Buzzards Bay, MA 02532-3245 |
| Kelly Kramer | Clinical Social Worker | Odonata Psychotherapy and Retreat Center LLC | 121 Main St, Buzzards Bay, MA 02532-3245 |
| Rosalyn F Long | Clinical Social Worker | Odonata Psychotherapy and Retreat Center LLC | 121 Main St, Buzzards Bay, MA 02532-3245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas S Vachon | Podiatry | Maine Coast Regional Health Facilities | 306 Main St, Ellsworth, ME 04605-1510 |
| Kristen L Mcnulty | Obstetrics/gynecology | 8 Union St, Ellsworth, ME 04605-1533 | |
| Mercedes L Ang | General Practice | Hospital Medicine Services of Maine LLC | 50 Union St, Ellsworth, ME 04605-1534 |
| Blaire A Siefken | Nurse Practitioner | Maine Coast Regional Health Facilities | 50 Union St, Ellsworth, ME 04605-1534 |
| Peter W Levasseur | Emergency Medicine | Emergency Medicine Services of Maine LLC | 50 Union St, Ellsworth, ME 04605-1534 |
| Daniel B Kairys | General Surgery | Maine Coast Regional Health Facilities | 50 Union St, Ellsworth, ME 04605-1534 |
| Kathryn Rensenbrink | Internal Medicine | Maine Coast Regional Health Facilities | 50 Union St, Ellsworth, ME 04605-1534 |
| Catherine A Shields | Anesthesiology | Maine Coast Regional Health Facilities | 50 Union St, Ellsworth, ME 04605-1534 |
| Lucille J Poulin | Family Medicine | Maine Coast Regional Health Facilities | 50 Union St, Ellsworth, ME 04605-1534 |
| Kevin M Brown | Physician Assistant | Maine Coast Regional Health Facilities | 50 Union St, Ellsworth, ME 04605-1534 |
| Find all physicians in zip 04605 | |||
| City | ELLSWORTH |
| Zip Code | 04605 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | ELLSWORTH + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Nicole R G Randall.
| 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.