Christopher Pezzullo, DO in Portland, ME

Christopher Pezzullo, DO is a medicare enrolled "Pediatrics" physician in Portland, Maine. His current practice location is 295 Forest Ave, 2nd Floor, Portland, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 772-5437.

Christopher Pezzullo is licensed to practice in Maine (license number 1505) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417933060.

Contact Information

	Christopher Pezzullo, DO
	295 Forest Ave, 2nd Floor, Portland, ME 04101-2018
	(207) 772-5437
	(207) 879-1537

Map and Direction

Physician's Profile

Full Name	Christopher Pezzullo
Gender	Male
Speciality	Pediatrics
Location	295 Forest Ave, Portland, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417933060
Provider Enumeration Date: 12/15/2005
Last Update Date: 06/24/2016

Medicare PECOS Information:

PECOS PAC ID: 0648212225
Enrollment ID: I20050524000782

Medical Identifiers

Medical identifiers for Christopher Pezzullo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417933060	NPI	-	NPPES
293660099	Medicaid	ME

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	1505 (Maine)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Christopher Pezzullo allows following entities to bill medicare on his behalf.

Entity Name	Mercy Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629078712 PECOS PAC ID: 6103737812 Enrollment ID: O20040217000943

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christopher Pezzullo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Christopher Pezzullo, DO 295 Forest Ave, 2nd Floor, Portland, ME 04101-2018 Ph: (207) 772-5437	Christopher Pezzullo, DO 295 Forest Ave, 2nd Floor, Portland, ME 04101-2018 Ph: (207) 772-5437

Reviews and Comments

Pediatrics Doctors in Portland, ME

Rushika M Conroy, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 41 Donald B Dean Dr Ste A, Portland, ME 04106 Phone: 207-661-6064
Michael Alexander Ferguson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Mmc Picu, Portland, ME 04102 Phone: 207-662-6711
Dr. Rute S Rothwell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-7060
Kenneth Lombard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 887 Congress St, Suite 410b, Portland, ME 04102 Phone: 207-662-5522 Fax: 207-662-5526
David F Cox, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2353
Marie H Tanzer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St, Suite 320, Portland, ME 04102 Phone: 207-662-5522 Fax: 207-662-5527
Daniel Sobel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 800-482-1415 Fax: 800-482-1415

Christopher Pezzullo, DO - Medicare Pediatrics in Portland, ME