Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amelia Fonseca Escudero

Individual provider Psychiatry Physician · NPI 1942422399

Amelia Fonseca Escudero is a Psychiatry in Bangor, Maine. Qualified in 2001, 25 years ago. Practices with State of Maine, a 19-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Maine.

Years since qualifying
25
Licensed in
MA, ME
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

268 Stillwater Ave
Bangor, ME 04401-3945
Phone: (207) 973-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD19646 (ME)
Psychiatry Physician Taxonomy 2084P0800X · Licence 225623 (MA)

Record details

NPI number1942422399
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESMay 8, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice State Of Maine — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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