Provider Demographics
NPI:1770573024
Name:RAINVILLE, ANNE M (MD)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:M
Last Name:RAINVILLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11392
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4004
Mailing Address - Country:US
Mailing Address - Phone:239-348-4221
Mailing Address - Fax:239-354-4305
Practice Address - Street 1:6376 PINE RIDGE RD UNIT 300
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-3905
Practice Address - Country:US
Practice Address - Phone:393-484-2212
Practice Address - Fax:239-354-4305
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME012923174400000X
MEMD12923207V00000X
FLME136816207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106747500Medicaid
FLNE899OtherMEDICARE
ME1040605OtherAETNA
ME160028956OtherGBA PALMETTO/RR MEDICARE
MEM3841OtherCIGNA
MEM3841OtherCIGNA
MERAMM3117Medicare ID - Type Unspecified
MEE54496Medicare UPIN