MEDICARE: SCOT C REMICK 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
1	207RH0003X	Hematology & Oncology Physician	35-071269	OH
2	207RX0202X	Medical Oncology Physician	MD20833	ME

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CA7030	OTHER	WV	RAILROAD MEDICARE GROUP #
3	P00610972	OTHER	WV	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	830004525	OTHER	MCR RR

General Provider Information

NPI Number	:	1417977067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOT C REMICK MD

Provider Business Mailing Address
First Line	:	190 RIVERSIDE ST
Second Line	:	SUITE 6B
City	:	PORTLAND
State	:	ME
Zip	:	04103-1073
Country	:	US
Telephone Number	:	207-661-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CAMPUS DR
Second Line	:	SUITE 121
City	:	SCARBOROUGH
State	:	ME
Zip	:	04074-7171
Country	:	US
Telephone Number	:	207-396-7760
Fax Number	:	207-396-8500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	04/27/2017

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Directions to “ SCOT C REMICK MD” Practice Location

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