Dr Janis Bacon Petzel, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Hallowell, Maine. Her current practice location is
116 Second St, Suite 1, Hallowell, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 242-4007.
Dr Janis Bacon Petzel is licensed to practice in Maine (license number 015653) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477571362.
Physician's Profile
Full Name | Dr Janis Bacon Petzel |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 116 Second St, Hallowell, Maine |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477571362
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 09/26/2016
Medicare PECOS Information:
- PECOS PAC ID: 2860430865
- Enrollment ID: I20050420000871
Medical Identifiers
Medical identifiers for Dr Janis Bacon Petzel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477571362 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 015653 (Maine) | Primary |
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 015653 (Maine) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD60650723 (Washington) | Secondary |
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 Janis Bacon Petzel allows following entities to bill medicare on her 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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Entity Name | Northern Maine Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568465144 PECOS PAC ID: 8426952987 Enrollment ID: O20040511000177 |
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Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
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Entity Name | Penobscot Bay Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982645305 PECOS PAC ID: 2163320508 Enrollment ID: O20060316000020 |
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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: 1063716710 PECOS PAC ID: 1254245715 Enrollment ID: O20110408000034 |
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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 Janis Bacon Petzel 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 |
Dr Janis Bacon Petzel, MD 165 Second St, Hallowell, ME 04347-1130 Ph: (207) 242-4007 | Dr Janis Bacon Petzel, MD 116 Second St, Suite 1, Hallowell, ME 04347-1331 Ph: (207) 242-4007 |
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