Look up the most recent NPI and PECOS records

Lydia Caron

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as LYDIA GUERRETTE.

Based on the most recent information from CMS, provider Lydia Caron is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 2:35 PM.

Profile Details

Provider ID
1255119020
Provider Type
Individual
Full Name
Caron, Lydia
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
9/21/2023
Last Updated
8/5/2025

Contact Information

Practice Location

22 Bramhall St, Portland, ME 04102-3134

(207) 662-2414

(207) 662-6038

Mailing Location

22 Bramhall St, Portland, ME 04102-3134

(207) 662-2414

(207) 662-6038

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA437 Maine

Lydia Caron

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Palmer, Wil Daniel

Stephansky, Jason Robert

Guerrette, Sarah Mae

Bessey, Kristie L

Wagman, Diana H

Maczuba, Chloe Rose

Nason, Joshua

Ballard, Kathleen Marie

Harvey, Amy Christine

Wallace, Chase E