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Camille Lillian Hanson

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as CAMILLE HANSON.

Based on the most recent information from CMS, provider Camille Lillian Hanson 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
1518514330
Provider Type
Individual
Full Name
Hanson, Camille Lillian
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
8/26/2019
Last Updated
12/29/2025

Contact Information

Practice Location

22 Bramhall St, Portland, ME 04102-3134

(207) 662-0111

(207) 662-7054

Mailing Location

59 State St Apt 22, Portland, ME 04101-3741

(860) 461-5496

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PAN1973 Maine
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 3550 New Hampshire

Camille Lillian Hanson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Langton, Alex J

Jones, Rhianna

Bessey, Kristie L

Beaver, Eric A

Hoff, James Robert

Kenneally, Meredith Paige

Langburd, Diana Florence

Macleod, Courtney C.

Gasbarre, Melia E

Klotz, Robert