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Amy G Taisey

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

887 Congress St, Portland, ME 04102-3100

PECOS Enrollment

This provider is enrolled in PECOS as AMY TAISEY.

Based on the most recent information from CMS, provider Amy G Taisey 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
1922319995
Provider Type
Individual
Full Name
Taisey, Amy G
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
6/24/2010
Last Updated
3/17/2018

Contact Information

Practice Location

887 Congress St, Portland, ME 04102-3100

(207) 774-6368

Unlisted Fax

Mailing Location

887 Congress St, Portland, ME 04102-3100

(207) 774-6368

(207) 774-9388

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA1214 Maine
Code 363AS0400X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA001214 Maine

Provider Identifiers

ID	Description	Issuer
ID PA1214	Description Other	Issuer PA LICENSE Maine
ID PA001214	Description Other	Issuer PA LICENSE Maine

Amy G Taisey

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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Bothel, Cody

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Houlihan, Lindsay Rose

Young, Allison Cay

Habif, Maureen G

Pearson, Melinda M

Jones, Rhianna

Troubh, Bonnie Jill

Szakacs, Sophia