Maine Functional Medicine
NPI 1427512904ActiveOrganization· Family Medicine· Bangor, ME
Family Medicine in Bangor, Maine, registered in NPPES in January 2019. The authorized official on file is Kelly Drake, Office Manager.
Overview
| NPI | 1427512904 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 29, 2019 |
| Last updated in NPPES | Jan 29, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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