MEDICARE: MAINELY PRIMARY CARE PLLC

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
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1053272427
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAINELY PRIMARY CARE PLLC

Provider Business Mailing Address
First Line	:	69 YORK ST STE 4
Second Line	:
City	:	KENNEBUNK
State	:	ME
Zip	:	04043-7186
Country	:	US
Telephone Number	:	207-467-3088
Fax Number	:	207-371-6311

Provider Business Practice Location Address
First Line	:	69 YORK ST STE 4
Second Line	:
City	:	KENNEBUNK
State	:	ME
Zip	:	04043-7186
Country	:	US
Telephone Number	:	207-467-3088
Fax Number	:	207-371-6311

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	PHILIP W BROWNE
Credential	:	FNP
Telephone Number	:	207-467-3088

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	11/24/2025

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