Dr Brian Patrick O'donnell, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Freeport, Maine. His current practice location is
407 Us Route 1, Freeport, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 865-2023.
Dr Brian Patrick O'donnell is licensed to practice in Maine (license number MD13824) 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 1285656413.
Physician's Profile
| Full Name | Dr Brian Patrick O'donnell |
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| Gender | Male |
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| Speciality | Dermatology - Mohs-micrographic Surgery |
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| Location | 407 Us Route 1, Freeport, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285656413
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 07/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 4082641402
- Enrollment ID: I20050718000700
Medical Identifiers
Medical identifiers for Dr Brian Patrick O'donnell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285656413 | NPI | - | NPPES |
| 010527189 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ND0101X | Dermatology - Mohs-micrographic Surgery | MD13824 (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. Dr Brian Patrick O'donnell allows following entities to bill medicare on his behalf.
| Entity Name | Mainegeneral Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669423380
PECOS PAC ID: 1254245715
Enrollment ID: O20031118000718 |
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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. Dr Brian Patrick O'donnell 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 |
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Dr Brian Patrick O'donnell, MD
407 Us Route 1,
Freeport, ME 04032-7023
Ph: (207) 865-2023 | Dr Brian Patrick O'donnell, MD
407 Us Route 1,
Freeport, ME 04032-7023
Ph: (207) 865-2023 |
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