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NPI Code Detail

MEDICARE: MS. REBECCA BRACKETT MD

MEDICARE: MS. REBECCA BRACKETT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianMD13228ME

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1050050824OTHERMEPBA RAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
26137395OTHERMECIGNA
30005595242OTHERMEAETNA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5000298OTHERMEANTHEM BLUE SHIELD

General Provider Information

NPI Number : 1750383725
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA BRACKETT MD
Provider Business Mailing Address
First Line : 35 MEDICAL CENTER PKWY
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-8160
Country : US
Telephone Number : 207-622-1959
Fax Number : 207-430-7007
Provider Business Practice Location Address
First Line : 35 MEDICAL CENTER PKWY
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-8160
Country : US
Telephone Number : 207-622-1959
Fax Number : 207-430-4007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 01/13/2026

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