Michelle W Gardner (NPI# 1548299118, PAC ID# 7719962919) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1548299118 |
| PAC ID by PECOS | 7719962919 |
| Professional Enrollment ID | I20040622000782 |
| Full Name | Michelle W Gardner |
| Organization Legal Name | STATE OF MAINE |
| Address |
656 State St Bangor ME 04401-5609 |
| Phone Number | 2079414000 |
| Gender | F |
| Credential | MD |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 7517875131 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 656 State St, Bangor, ME 04401-5609 | 2079414000 | STATE OF MAINE |
| Organization Legal Name | STATE OF MAINE |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia C Cushman | Psychiatry | State of Maine | 656 State St, Bangor, ME 04401-5609 |
| Robert K Watson | Nurse Practitioner | State of Maine | 656 State St, Bangor, ME 04401-5609 |
| Bernard J Quigley Jr. | Psychiatry | State of Maine | 656 State St, Bangor, ME 04401-5609 |
| Zachary D Smith | Physician Assistant | State of Maine | 656 State St, Bangor, ME 04401-5609 |
| Carolyn E Criss | Psychiatry | State of Maine | 656 State St, Bangor, ME 04401-5609 |
| Bruce S Freedberg | Clinical Psychologist | State of Maine | 656 State St, Bangor, ME 04401-5609 |
| Jeffrey W Aston | Clinical Psychologist | State of Maine | 656 State St, Bangor, ME 04401-5609 |
| Street Address |
656 STATE ST |
| City | BANGOR |
| State | ME |
| Zip | 04401-5609 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia C Cushman | Psychiatry | State of Maine | 656 State St, Bangor, ME 04401-5609 |
| Robert K Watson | Nurse Practitioner | State of Maine | 656 State St, Bangor, ME 04401-5609 |
| Bernard J Quigley Jr. | Psychiatry | State of Maine | 656 State St, Bangor, ME 04401-5609 |
| Zachary D Smith | Physician Assistant | State of Maine | 656 State St, Bangor, ME 04401-5609 |
| Carolyn E Criss | Psychiatry | State of Maine | 656 State St, Bangor, ME 04401-5609 |
| Bruce S Freedberg | Clinical Psychologist | State of Maine | 656 State St, Bangor, ME 04401-5609 |
| Jeffrey W Aston | Clinical Psychologist | State of Maine | 656 State St, Bangor, ME 04401-5609 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karie Anne Davis | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Elizabeth A Brewer | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Heidi Lee Niles | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Ashley Diane Philibert | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Jaimee Leigh Perry | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Matthew Timothy Soucy | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Michael James Strahan | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Karen E Mitchell | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Ann M Covey | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Susan Allen | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Find all physicians in zip 04401 | |||
| City | BANGOR |
| Zip Code | 04401 |
| Specialty | PSYCHIATRY |
| City + Specialty | BANGOR + PSYCHIATRY |
Please comment or provide details below to improve the information on Michelle W Gardner.
| 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.