Individual ProviderMary SeamanPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address22 Bramhall St, Portland, ME 04102-3134(207) 662-2934PECOS EnrollmentBased on the most recent information from CMS, provider Mary Seaman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 2:35 PM.Profile DetailsProvider ID1578103479Provider TypeIndividualFull NameSeaman, MaryGenderFemaleSole ProprietorYesEnumeration Date1/9/2020Last Updated11/21/2024Contact InformationPractice LocationPractice Address22 Bramhall St, Portland, ME 04102-3134Phone(207) 662-2934FaxUnlisted FaxMailing LocationMailing Address22 Bramhall St, Portland, ME 04102-3134Phone(207) 662-2934FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA2164MaineCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer