February 22, 2016

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Legislative Focus is on Prescription Monitoring Program; PMP Advisory Committee Meets

The Prescription Monitoring Program Advisory Committee met last Wednesday (Feb. 17) and heard reports from HHS Chief Health Officer Christopher Pezullo, D.O. and Stephanie Nichols, Pharm D. PMP staff updated committee members on the status of interstate data sharing and preparation of the RFP for the program vendor contract.

The Prescription Monitoring Program is receiving some attention from the Legislature in the face of data released from the Program indicating that only 7% of those prescribers registered for the Program are regularly using it. While the 7% figure is subject to analysis and explanation, legislators are likely to consider proposals to mandate use of the PMP as a tool for preventing doctor shopping rather than just mandating registration. The PMP has now been in operation for over a decade and with the opioid/heroin crisis still a serious public health problem, legislators and the Governor are likely to take some action.

In the event that legislation mandating use is considered, MMA has prepared an alternative proposal that would direct the Professional Licensing Boards to mandate use by amending existing Joint Rule 21 which already provides guidelines when prescribing controlled substances for pain. By using the rule-making process at the licensing boards, physicians would have an opportunity to provide input over a reasonable period of time. MMA has also suggested that the effective date for any such mandate not be before July 1, 2017 in order to give all prescribers an opportunity to be educated to the new standard.

The 7% is suspect because the denominator now includes all licensed health professionals who have prescribing privileges even if they do not have a DEA number and thus do not prescribe controlled substances. If only  prescribers who are regularly prescribing controlled substances are included, the 7% number would be much higher. In addition, the usage number is diminished by virtue of the fact that some prescribers in a system of care may use delegates to access the PMP and assign those delegates to more than one physician.


POLITICAL PULSE: The Legislative Session Continues

The legislative session proceeds apace in Augusta. This past week saw more meetings with relevant stakeholders, administration officials and legislators on LD 690, the midwifery licensing bill. MMA attorneys Gordon Smith and Peter Michaud continue to participate, representing the voices of the MMA and the Maine chapter of ACOG. A scheduled work session on this bill has been postponed in the hope that negotiations will be fruitful, and another negotiation session is planned for this week.

There was a public hearing on LD 1565, which seeks to make the office of medical examiner more attractive to Maine physicians. Dr. Tom McHugh ably presented the perspective of the "field" medical examiners and helped the members of the Judiciary Committee understand what a medical examiner's work involves.The MMA also offered testimony in support of LD 1488, concerning diversion of persons with substance use disorder from the legal system into treatment. MMA EVP Gordon Smith addressed the HHS Committee on LD 622, a bill to require a certain level of training for mandated child abuse reporters. That bill was voted "Ought to pass as amended."

The Health & Human Services Committee also unanimously voted "Ought to pass" on LD 1496, a bill to fund additional rural peer support centers, and it tabled for further information bills seeking to increase the fee for methadone treatment and to support needle exchange programs. These are all part of the Legislature's ongoing efforts to deal effectively and appropriately with the opioid problem in Maine.

This coming week will see a work session on LD 633, a bill to expand Medicaid to persons under 138% of the federal poverty limit. This bill, too, is related to increasing efforts to treat the opioid addiction problem. The HHS Committee will also work LD 180, a so-called "right to try" bill which seeks to allow the use of treatments that have not yet passed FDA review for cases where no other treatment has worked and a patient is dying. On Thursday there will be a public hearing on a bill, LD 1547, that would allow the provision of Naloxone to all first responders. We understand the bill may be amended to allow over-the-counter sales of Naloxone as well.

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Baystate Financial Presents Seminar on Social Security Claiming Strategies Before Critical April 30th Date!

MMA's financial services partner, Baystate Financial, is offering several seminars on What You Need to Know about Social Security Claiming Strategies in the coming weeks.   Anthony Bartlett, ChFC, CASL, AEP of Baystate Financial will be the faculty for these complimentary events.  

Understanding the nuances of Social Security benefits has always been challenging . . . . and the new Federal budget created major changes to certain claiming strategies.  As a result, the complex set of rules are - more than ever - difficult to navigate alone.  

During this workshop, financial advisor Anthony Bartlett will walk you through:

  • How Social Security retirement benefits are calculated;
  • Which claiming strategies are being eliminated or severely curtailed after April 29, 2016; and
  • What actions you should take now, regardless of your age.

The workshop dates are:

Wednesday, March 2, 2016, 5:00 - 6:30 p.m.

Maine Medical Association, 30 Association Drive, Manchester, Maine


Thursday, March 10, 2016, 6:00 - 8:00 p.m.

Salt Water Grille, 231 Front Street, South Portland, Maine

There is no fee to attend, but pre-registration is required.  To register, please email Larry Perry at lperry@baystatefinancial.com or call 207-775-6181.

For more information on Baystate Financial click here. [return to top]

MMA Survey on Health Plan Mergers is Underway

As mentioned previously in this Maine Medicine Weekly Update, the MMA Board of Directors has expressed deep concern about the implications for physicians and their patients of the proposed mergers of health insurance carriers Anthem and CIGNA and Aetna and Humana respectively.  The MMA has been working with the American Medical Association (AMA) Advocacy Resource Center (ARC) staff and other affected state medical societies to gather data which may be helpful to state and federal antitrust regulators as they review the proposed mergers.  The AMA has developed an electronic survey that the MMA has shared with more than 200 physicians who are likely to be substantially affected by these transactions.  MMA sent the survey last week.  If you did not receive the survey link and would like to participate, please contact Lisa Martin, Membership Coordinator, at lmartin@mainemed.com or 622-3374, ext. 221. [return to top]

Health Insurance Marketplace Update

The 2016 Open Enrollment period for the Health Insurance Marketplace ended on January 31, 2016.  The next Open Enrollment period for 2017 health insurance plans through the Marketplace will start in the fall of 2016.

Outside of Open Enrollment some people may be eligible for a Special Enrollment Period if they have a life event such as getting married, having a child, or losing other health coverage.  For more information and Marketplace enrollment assistance:

For more information, contact Susan Kring, ACA Outreach Coordinator at 662-2364 or skring@mainemed.com. [return to top]

DHHS Proposes Amendments to MaineCare Physician Services Rule

The Maine Department of Health & Human Services (DHHS) has proposed amendments to MaineCare Benefits Manual, Chapter II, Section 90, Physician Services.  The Department has scheduled a public hearing for March 7, 2016 and the written comment deadline.  You will find more details about the rule and the hearing below.  MMA will submit any comments it receives from the physician community.  Please contact Andrew MacLean, Deputy EVP & General Counsel, at amaclean@mainemed.com or 622-3374, ext. 214.  The following is the Department's summary of the proposed rule amendments.


  • The rulemaking allows for unlimited coverage of comprehensive tobacco cessation treatment for all members who wish to cease the use of tobacco. These changes to Section 90 will be effective retroactive to August 1, 2014,  for members eighteen (18) years of age or older or who are pregnant, in compliance with LD 386, An Act to Reduce Tobacco-related Illness and Lower Health Care Costs in MaineCare (22 MRSA §3174-WW).
  • This rulemaking adds coverage for oral evaluation by a medical provider for a child under the age of three (3) who does not have a dental home and/or has not seen a dentist in the past year. This rulemaking also amends language for coverage of topical application of fluoride varnish to align with limits described in MBM, Ch. III, Section 25, Dental Services. 
  • The Department proposes to remove the limits of five (5) services in any consecutive seven (7) day period and eight (8) emergency therapy visits “per emergency” for no more than two (2) hours within a single twenty-four (24) hour period. 
  • This rulemaking removes the requirement that providers delivering psychiatric services within their scope of licensure and state law must be under direct supervision of a board eligible or certified psychiatrist. This rule also renames “Psychiatric Services,” to “Behavioral Health Services.”
  • This rulemaking amends the anesthesia time unit used for billing anesthesia services to one (1) minute intervals, rather than fifteen (15) minutes, in order to comply with Health Insurance Portability and Accountability Act (HIPPA) Version 5010.
  • This rulemaking clarifies (i) the limit to the number of patients that the anesthesiologist or operating physicians may supervise as a maximum of four (4) patients concurrently, (ii) the service and billing instructions for medically-directed services for physicians; and, (iii) that post-anesthesia care is a requirement of anesthesiology services.
  • The time periods indicated in surgical services for post-operative treatment are amended to comply with the Centers for Medicare and Medicaid Services (“CMS”) standard fee schedule for durational global surgical periods.  • To align with the Early Periodic Screening, Diagnosis, Treatment Program (EPSDT), providers are no longer required to submit Well Child Visit (“Bright Futures”) forms in order to receive MaineCare reimbursement for services. In addition, language in this rulemaking clarifies that participation in EPSDT is optional and that providers are not required to complete a specific rider to deliver covered preventive health services.
  • This rulemaking amends provider qualifications for obstetrical services to ensure that any appropriately licensed or certified, qualified professional working within their scope of licensure or certification may deliver obstetrical services to MaineCare members. Requirements around hospital admitting privileges are also amended: in order to deliver obstetrical services, providers must personally, or through a formal arrangement, have active hospital admitting privileges to an approved MaineCare hospital which includes maternity services.
  • This rulemaking updates the methods by which the Department sets rates in the MaineCare Fee Schedule to include an option to obtain an average from other state Medicaid agencies for relevant codes when the code is not priced by Medicare.
  • The rulemaking also increases the reimbursement of primary care physicians for certain primary care services. This initiative replaces expiring funds provided through the federal Patient Protection and Affordable Care Act (ACA), P.L. 111-148. CMS has approved a Maine State Plan Amendment for this program, effective January 1, 2015. Public Law 2015, Chapter 267 (702 – L.D. 109), Part A approved continued funding of this program, and the Section 90 policy will be updated to reflect the full initiative (an effective date of January 1, 2015). Eligible providers are those practicing with a specialty designation of Family Medicine, Internal Medicine, or Pediatric Medicine or with a subspecialty within these three primary care categories that is recognized by the American Board of Medical Specialties, the American Board of Physician Specialties, or the American Osteopathic Association. Eligibility for the increase is limited to qualified physicians and Advanced Practice Registered Nurses and Physician Assistants practicing under their direct supervision. Hospital-based physicians and physicians providing services as part of a Federally Qualified Health Center or Rural Health Clinic remain ineligible.
  • This rulemaking moves specific entries under “Covered Services” that describe procedural information, including “Insurance Coverage - Insurance Benefit,” to Section 90.09-2, Reimbursement.
  • This rulemaking clarifies Section 90.09-3, Reimbursement Rate for Drugs Administered By Other Than Oral Methods, without any change in coverage, reimbursement or procedures.
  • This rulemaking deletes the separate Computerized Axial Tomography Scan subsection under covered services and includes the same information in 90.04-6, Medical Imaging Services.
  • This rulemaking states that audiologists, physical therapists, and occupational therapists must follow the expectations and limitations in their applicable sections of policy when rendering services in a physician’s practice.
  • For consistency with Section 1.03-2, which provides that MaineCare will not provide payment to any entity outside the United States, and as required by Section 6505 of the Patient Protection and Affordable Care Act, P.L. 111-148 (March 23, 2010), the following language has been removed from the policy: “or province” from multiple locations.
  • This rulemaking also includes other minor and technical changes, such as updating website links, updating language to be consistent with other MaineCare materials, spelling out acronyms, updating names of government agencies, and updating titles of MBM sections.  

See http://www.maine.gov/dhhs/oms/rules/index.shtml for rules and related rulemaking documents. [return to top]

MMA Presenting next CME Program on Opioid Prescribing and the PMP on March 11

On Friday, March 11, the Maine Medical Association, in cooperation with the Office of Substance Abuse and Adult Mental Health Services will present an educational program on prescribing for pain featuring a number of experts on issues ranging from community-wide guidelines for prescribing to the appropriate use of the Prescription Monitoring Program (PMP).  The program is being held from 9:00am to 12:45pm at the offices of MMA in Manchester, Maine.  The program is offered, AT NO COST, and is presented both live and via webex. Presenters include Noah Nesin, M.D., Medical Director at Penobscot Community Health Care, Lisa Letourneau, M.D., MPH, Executive Director of Quality Counts, Amy Belisle, M.D., Director of the Chronic Pain Collaborative at Quality Counts, Stephanie Nichols, Pharm.D, of Husson University School of Pharmacy and Clare Desrosier, Director of Diversion Alert. The program will be moderated by MMA EVP Gordon Smith, Esq.

Registration is available on the MMA website at www.mainemed.com or by calling MMA at 622-3374. Three and one half hours of Category one CME is available by attending the program and completing the evaluation form.


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Opiate Collaborative Treatment and Prevention/Harm Reduction Task Force Meetings: 3/3, 3/17, and 3/30

The next meetings of the Maine Opiate Collaborative Treatment Task Force meetings will be from 9:00 to 11:00 am on March 3rd and March 17th.  The meetings will be held at the offices of the Maine Medical Association at 30 Association Drive in Manchester, Maine.  All the meetings are open to the public.

The topics featured at each of the upcoming meetings are as follows 

  • March 3rd: Expansion of Medication Assisted Treatment (MAT) in Substance Abuse Treatment and Treatment for Adolescents;"
  • March 17th:  Treatment for Women and Infants and the Criminal Justice System.

 The Treatment Task Force is co-chaired by Pat Kimball and Eric Haram.  Minutes of the meetings are posted on the website of the U.S. Attorney's Office for the District of Maine.

The Prevention/Harm Reduction Task Force also will meet at the offices of the Maine Medical Association at 1:00 pm on March 3rd and 17th.

Eric Haram will present the interim work of the Treatment Team Task Force to the Legislature's Health & Human Services Committee on this coming Wednesday at 9:00 am.

Community Forums sponsored by the Collaborative have been announced for March 7th in Fort Kent (noon to 2:00 pm) and Presque Isle (6:00 to 8:00 pm) and in Lewiston March 31st (Lewiston Middle School, 6:00 to 8:00 pm).  A community forum also is planned for Bangor on March 30th (6:00 to 8:00 pm at UMA Bangor Campus).  Dates will be announced shortly for Forums in Portland and Washington County.  Physicians are encouraged to attend forums in their area.

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Protect Yourself from Identity Theft; File Your Tax Return Early

Well over one hundred Maine physicians (and usually their spouses) were unpleasantly surprised when they filed their federal tax returns for 2013 and 2014 and were told that their return had already been filed received and a generous refund sent to a prepaid debit card at an address now untraceable. Although the accurate returns were eventually processed and the victims of this scam were not held financially liable in any way, nonetheless the hassles associated with identity theft plagued these physicians and continue to be worrisome. Now that it is known that one's social security number, address and other personal information is in the hands of criminals, there is constant fear regarding when the next shoe will drop. 

One of the best ways to ensure that your return is the first return received by the IRS in your name and with your social security number, is for you to file your return as early as possible and not wait until the last minute. The IRS and state revenue departments are also becoming more sophisticated in identifying fraudulent returns so hopefully the filing of returns this year for the 2015 tax year will not result in as many surprises. 

During the last two years, the Maine Medical Association and other state medical societies, particularly our colleagues in New Hampshire, have collected the names of victims and shared information with the IRS and Secret Service. If you should be the victim of this scam, please communicate with MMA EVP Gordon Smith at gsmith@mainemed.com or by calling him at 207-622-3374 ext. 212. Attorney Smith recently participated in an national conference on identity theft and shared the Maine experience with attendees who were government officials from all over the country. The theft of identities for the purpose of fraudulently filing for local, state or federal benefits is now one of the fastest growing crimes in the world. While some of the criminal activity originates from other countries, there are now areas of our own nation where gangs of criminals buy identities on a regular basis for the purpose of using them at some future time. These identifications, which may include social security numbers, addresses, credit card numbers and other types of personal information, including medical information, may then be held for several years before they are used. Therefore, the typical offer from a retailer, insurer, hospital or other vendor of a year of free credit monitoring in the face of a data breach is not adequate. A known victim of a data breach should be monitoring their credit accounts and potentially use a credit monitoring service for several years. 

The sad truth is that probably all Americans have had their personal identification numbers stolen through one or more of the many very public and very large data breaches (Target, Anthem, the federal personnel system and thousands of others). It is only a matter of time before these numbers are sold to criminals who will begin to use the information to obtain benefits, cash or goods in the name of the victim. Constant vigilance is the best way to avoid widespread fraud in your name. 

It is also important to pay increased attention to the data of your patients that you are holding in your offices. Identity theft in the medical sector is now one of the major areas of focus for organized crime.  [return to top]

Next MMA Weekly Legislative Committee Conference Call is Tuesday, February 23rd at 8 p.m.

MMA Legislative Committee Chair Amy Madden, M.D. welcomes you to participate in the weekly conference calls of the MMA Legislative Committee.

The next MMA Legislative Committee weekly conference call for the Second Regular Session of the 127th Maine Legislature will take place tomorrow, Tuesday, February 23rd at 8:00 p.m.

Legislative Committee members and specialty society legislative liaisons are strongly encouraged to participate.  Any physician, practice manager, or other staff member who is interested in the MMA's legislative advocacy also is welcome to participate.  It is not necessary to RSVP for the calls.

Please use the following conference call number and passcode.  These will remain the same for every weekly call during the session.

Conference call number:  1-302-202-1092

Passcode:  729-7185

The purpose of the weekly conference calls is to review and finalize the MMA's position on bills printed the previous week, to hear the views of specialty societies on the new bills or their concerns about any current health policy issues, and to discuss the highlights of legislative action of the week.  The calls rarely last longer than an hour.  The MMA staff lists a suggested position for each bill and any medical specialty particularly affected by the bill.  

If you have an opinion about any of these bills, but cannot participate in the call, please contact Andrew MacLean, Deputy EVP & General Counsel at amaclean@mainemed.com or 622-3374, ext. 214.

There are no new bills for review this week, but the staff will provide an update on current activities at the State House.

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Upcoming Events

MCMI Training Programs – Level 1 and Level 2

General Information for 2016

When and where held:


              March 11, 2016 in Bangor at St. Joseph’s Hospital  

              April 8, 2016 in Presque Isle at UMPI                   

              June 10, 2016 in Waterville at Colby College

              October 25, 2016 in Portland in conjunction with the Maine Brain Injury Conference

                                (Registration and fees will be through the Maine Brain Injury Conference for October 25)

                 March and April programs will be morning only with Level 1 and Level 2 at the same time.

               June and October programs will be Level 1 in the morning and Level 2 in the afternoon.


Training Programs:


              Level 1 – An Introduction to Concussions and Concussion Management

                            Speaker: Deb Nichols, CPNP or Peter Sedgwick, MD or Bill Heinz, MD

                           Level of Difficulty: beginner

                           Content: The Diagnostic and Return to Play Dilemma

                                           How Concussion Occurs and Pathophysiology            

                                           Concussion Signs and Symptoms

                                           Concussion Evaluation Tools

                                           Concussion Treatment

                                           Recovery Epidemiology

                                           Return to Function – Academics and Play

                                           Risk Factors and Protective Equipment

                                           Short and Long Term Sequelae

                                           Neurocognitive Testing

                                           Concussion Sideline Assessment

                                           Key Points


              Level 2 – Advanced Concussion Management (Level 1 is a prerequisite for taking Level 2)

                           Speaker: Mike Rizzo, FNP-C, CIC or Paul Berkner, DO

                           Level of Difficulty: intermediate

                           Content: Updates from Zurich 2012       

                                           Using ImPACT Testing in Concussion Management

                                           Interpreting ImPACT Test Results

                                           Concussion Case Reviews


              March and April – Level 1 and Level 2 (Offered at same time)

                           8:00am – 8:15am           Registration

                           8:15am – noon               Training Program


              June – Level 1:

                           7:45am – 8:00am           Registration

                           8:00am – noon               Training Program

                           Level 2:

                           12:15pm-12:30pm          Registration

                           12:30pm – 4:30pm         Training Program


Registration Fee:           

              For morning only training programs: March 11 and April 8

              $100 for Health Care Professionals (MD, DO, NP, PA, Neuropsychologist, AT, RN, PT, OT, SLP)

              $40 for school personnel and all other attendees

                           (School nurses, coaches, school athletic directors, administrators, parents, etc.)

              $20 for students – currently enrolled in a college program


              For morning and afternoon training program: June 10

              $100 for Health Care Professionals (MD, DO, NP, PA, Neuropsychologist, AT, RN, PT, OT, SLP)

              $175 for Health Care Professionals taking Level 1 and Level 2 - Only June 10


              $40 for school personnel and all other attendees                                                                                                              (School nurses, coaches, athletic directors and administrators, etc.)

              $70 for school personnel taking Level 1 and Level 2 - Only June 10


              $20 for students currently enrolled in a college program            

              $35 for students taking Level 1 and Level 2- Only June 10

CME/CEU contact hours: 3.50

Registration Confirmation will be sent by email.

Refund / Cancellation Policy: If you need to cancel contact Jan Salis, PT, ATC. You can choose to apply your registration fee to another training program or have your check returned.

For more information contact:

              Jan Salis, PT, ATC

              MCMI - Membership and Education Committee - Chair


              (207) 577-2018


MAT for Multidisciplinary Teams: Things You Need to Know in the Development and Delivery of Buprenorphine Services

This program brings experts who are providing buprenorphine services in Maine to share their knowledge about addiction and what is needed to develop quality MAT services.

Presenters: Dr. Leah Bauer, MD, a psychiatrist and Medical Director of the Addiction Resource Center at Midf Coast Hospital in Brunswick; Eric Haram, LADC, Director of Outpatient Behavioral Health at Mid Coast Hospital.

 5.5 Contact Hours Available
Click here for details. Certificates will be emailed to participants who attend the entire program. No partial credit will be given.

Training Objectives

  • Describe the basics of addiction and what happens in the brain around tolerance, affinity and withdrawal from opioids
  • Name key elements of safe and effective practice for the delivery of buprenorphine services
  • Identify roles and functions within teams for delivering MAT
  • Analyze how to finance and sustain your MAT program

Registration will begin at 8:30 a.m.

Lunch will be on your own.

This course is sponsored by CCSME through the Maine Behavioral Health Workforce Development Collaborative, a partnership between AdCare Educational Institute of Maine, Co-Occurring Collaborative Serving Maine, and Muskie School of Public Service with funding from the Maine Office of Substance Abuse and Mental Health Services (SAMHS), Department of Health and Human Services.

Wednesday, March 9, 2016 from 9:00 AM to 4:00 PM (EST) - Add to Calendar

Husson University - 340 County Road Westbrook, Maine 04092 - View Map


Printable Registration Form: https://cdn.evbuc.com/eventlogos/3100087/20160309registrationform-1.pdf

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Job Openings


Mid Coast Hospital is seeking a full time Hospitalist to join its established hospitalist service, which is expanding due to growth. The candidate should be BC/BE in internal medicine or family practice. New graduates and experienced candidates are encouraged to apply. Procedures are not required. Excellent Intensivist and subspecialist support is available. Part-time and per diem applications will be considered. 

Part of the Mid Coast–Parkview health family of services, Mid Coast Hospital offers competitive benefits and compensation package, along with an excellent work environment. Please send CV to Melanie Crowe, Physician Recruiter, at mcrowe@midcoasthealth.com or call (207) 406-7872, for more information.



Mid Coast Medical Group is seeking a BC/BE Outpatient Family Practitioner to join our multi-specialty group. Admitting is through a high-quality Hospitalist service.

The Coastal location, historic neighborhoods, superior schools, and Bowdoin College campus make this part of Maine a very desirable place to live. 

Part of the Mid Coast–Parkview health family of services, Mid Coast Medical Group offers competitive benefits and compensation package, along with an excellent work environment. Please send CV to Melanie Crowe, Physician Recruiter, at mcrowe@midcoasthealth.com or call (207) 406-7872, for more information.


Relocate to Beautiful Southwestern Maine

Full-time family practice physician wanted for multi-service, progressive, rural federally qualified community health center in a medically underserved area. Services on site include integrated primary care, dental services, family planning, mental health counseling, psychiatry, nutritionist, optometry, podiatry, social services support, sliding fee coverage, care management, radiology and lab services. NextGen EMR. Practice is outpatient only with no OB. On-call rotation is 4-5 times per month. NCQA Level III PCMH. Located in Porter, ME, between Portland and the White Mountains. Area is known for terrific four season recreational activities. Just two and one-half hours from Boston. Submit CV to: Nancy Buck, Human Resources Coordinator, (nbuck@svhc.org), Sacopee Valley Health Center, 70 Main Street, Porter, ME 04068. EOE. www.svhc.org Sacopee Valley Health Center is an equal opportunity provider and employer .



Northern Maine Medical Center, a 49-bed JCAHO accredited hospital nestled in the foothills of the St. John Valley, is seeking a General Surgeon to provide general surgical care. Must be able to do endoscopies and C-sections. Endoscopy Suite and 2 operating rooms.  Maine Medical licensure or immediate eligibility for licensure required.  Area offers a casual, laid-back lifestyle in a crime-free environment which is a great place to raise a family. Interested candidates should send CV to  Dorine Deschaine, Recruiter, Northern Maine Medical Center, 194 East Main St. Fort Kent, ME  04743 or  e-mail to: dorine.deschaine@nmmc.org or call at (207) 834-1434.  Equal Opportunity Employer.



Northern Maine Medical Center, a 49-bed JCAHO accredited hospital nestled in the foothills of the St. John Valley, is seeking a Hospitalist to provide inpatient care. MD/DO, BE/BC in internal medicine, and Maine Medical licensure or immediate eligibility for licensure required.  Area offers a casual, laid-back lifestyle in a crime-free environment which is a great place to raise a family. Interested candidates should send CV to Dorine Deschaine, Recruiter, Northern Maine Medical Center, 194 East Main St., Fort Kent, ME  04743 or e-mail to: dorine.deschaine@nmmc.org or call at (207) 834-1434.  Equal Opportunity Employer.



Northern Maine Medical Center, a 49-bed JCAHO accredited hospital, Psychiatric Units; 9-bed Adult, 7-bed Child, is seeking a Psychiatrist to provide inpatient/outpatient care. Maine Medical licensure or immediate eligibility for licensure required.  Area offers a casual, laid-back lifestyle in a crime-free environment which is a great place to raise a family. Interested candidates should send CV to Dorine Deschaine, Recruiter, Northern Maine Medical Center, 194 East Main St., Fort Kent, ME  04743 or e-mail to: dorine.deschaine@nmmc.org or call at (207) 834-1434.  Equal Opportunity Employer.


Experienced Internist or Family Physician Wanted for Per Diem Work 

Southern Maine Geriatrics Associates (SMGA) is recruiting physicians to work for physicians and midlevel providers during vacations and CME in a long term care practice in skilled/rehab, nursing home and assisted living.  Great work-life balance.  No call, no weekends, no holidays with hours typically 8 to 5.  Southern Maine Geriatrics provides geriatric medical care to residents in facilities in southern and central Maine.   Must have current Maine license, DEA, and meet hospital credentialing requirements.  Interested candidates should send their CV to Susan Pratt, Southern Maine Geriatrics Associates, 50 Marquis Road, Freeport, ME  04032,pratts@smga.me.  


E.M. BC/BP Physicians

St. Joseph Hospital is recruiting E.M. BC/BP physicians for its dedicated group.  Collegial, nurturing workplace with latest technology and just-completed expansion.  Members support each other and know patient satisfaction is achieved through staff satisfaction.  Leadership development and participation in policies and direction available. 

Equitable scheduling based on 1440-1472 clinical hours per year; more flexible arrangements available. 

Staffing: 51 hours per day, mostly physicians, for 27,000 visits.  We have great E.D. nurses.   

Area offers many cultural attractions, including the University of Maine, natural and organic food producers, pleasant pace, low crime, friendly people, great public schools and affordable housing.  Acadia National Park, Baxter, scenic towns and harbors, Sugarloaf,  I-95 and Bangor International Airport are right here or close.

Highly competitive package includes relocation, signing bonus, loan repayment, retirement and protected vacation and CME time with allowance.

Contact: Charles F. Pattavina, MD, F.A.C.E.P., Chief, Emergency Medicine at 207.907.3350  or cpattavina@sjhhealth.com


Family Medicine/ Outpatient Internal Medicine Physician

As a result of our continuous growth, Katahdin Valley Health Center is recruiting a Family Medicine/ Outpatient Internal Medicine Physician that is committed to providing quality health care services to the people in Brownville/Millinocket Maine.   Join our practice in a newly renovated facility.  KVHC is a fully electronic medical record site and offers a four day work week with a competitive salary and benefit package which includes: a 10% of first year salary sign on bonus, generous amounts of paid time off and $2500 annually toward CME. Physicians who join KVHC are eligible to apply for NHSC Loan Repayment.  

To learn more about KVHC and Practitioner Opportunities, please contact Michelle LeFay at mlefay@kvhc.org or visit our website at www.kvhc.org.  KVHC is an equal opportunity employer.


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