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Under 65

If you are not enrolled in Medicare and are under the age of 65, the following services are available through Stephen Saylor PA-C, CWS, and Emily  FNP - C.


Stephen is a NCCPA certified Physician Assistant, and Wound Care Specialist with over 25 years of practice experience in primary and specialty care including acute and chronic disease management, surgical wound care, sports medicine, and orthopaedic surgery.  His interests include chronic disease prevention through lifestyle modification.  He is currently accepting new patients between 12 and 64 years of age


Emily is a Board Certified Family Nurse Practitioner (FNP-C), and holds a national certification with the American Academy of Nurse Practitioners. Emily has half a decade of nursing experience to precede her transition to the NP role and she has a holistic approach to health. Emily is thrilled to be a part of the Coastal Maine Direct Care family and is currently accepting new patients 18 years and older.


We do not require that you have insurance in order to become a member of  our practice.  However, if you are interested in purchasing insurance that will cover your DPC (Direct Primary Care) membership fee, we partner with TARO HEALTH.

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Stephen Saylor PA-C 

Emily Stickney FNP-C


  •  Membership includes:

    • Unlimited office visits

    • In-office procedures for no or minimal fee  

    • Scheduled office visits that work for you.

    • Urgent care 

    • Discounted medications and labs.*

    • Up to 3 free home visits as indicated.​


  • For small businesses or groups, please call for pricing.

* Additional fees for lab work may apply


include (but are not limited to):

  • Direct communication with your healthcare provider:

    • Phone, email, telemedicine, text

    • Home visits when medically necessary (up to 3 visits per year)*

    • Appointments when you need them

  • Healthcare System navigation and consultation / referral management


Sometimes you need specialist care for more complicated treatment.
This can be anxiety provoking and bewildering.
We will be here to help you navigate the healthcare system.

Primary Care Service For:



Asthma Management

Back pain (chronic and acute )

Bladder issues


Conjunctivitis (pink eye)




Pre-diabetes & diabetes management



Eczema/skin disorders

Erectile dysfunction




Heart disease

Heartburn/Gastroesophagael reflux (GERD)

High blood pressure (hypertension)

High cholesterol (hyperlipidemia)

Hypothyroidism (underactive thyroid)


Incontinence and bladder problems

Joint and muscle pain


Laceration repair

Lipoma removal


Moles, lumps and bumps

Muscle aches, pains and sprains

Nausea, vomiting and diarrhea





Sebaceous cyst removal

Skin lesion evaluation & procedures

(punch, excision, shave biopsy)


Sore throat (pharyngitis)

Tobacco dependence

Upper respiratory infections

Urinary tract infections

Vitamin B12 deficiency

Warts/wart removal

Weight gain/loss

And more…

* 3 medically necessary home visits per year are included at no charge.  There is a $150.00 service fee per visit for additional home visits. 

* Procedures may be covered or are offered for a minimal additional fee.  Procedures vary depending on provider expertise but may include skin biopsy, joint injection, laceration repair, suture removal, wound care, abscess treatment, wart removal, and ear wax removal. 

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