Dr Jose Gerardo Vergara, MD - Medicare Internal Medicine in Calais, ME

Dr Jose Gerardo Vergara, MD is a medicare enrolled "Internal Medicine" physician in Calais, Maine. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Bladen Healthcare Llc and his current practice location is 18 Palmer St, Suite 3, Calais, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 454-8195.

Dr Jose Gerardo Vergara is licensed to practice in Maine (license number MD19527) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194796920.

Contact Information

Dr Jose Gerardo Vergara, MD
18 Palmer St, Suite 3,
Calais, ME 04619-1346
(207) 454-8195
Not Available

Map and Direction




Physician's Profile

Full NameDr Jose Gerardo Vergara
GenderMale
SpecialityInternal Medicine
Experience35 Years
Location18 Palmer St, Calais, Maine
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jose Gerardo Vergara graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1194796920
  • Provider Enumeration Date: 01/30/2006
  • Last Update Date: 08/16/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3476708942
  • Enrollment ID: I20180119000367

Medical Identifiers

Medical identifiers for Dr Jose Gerardo Vergara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194796920NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology A55692 (California)Secondary
207R00000XInternal Medicine MD19527 (Maine)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Well Care Home HealthWilmington, NCHome health agency
Cape Fear Valley-bladen County HospitalElizabethtown, NCHospital
Cape Fear Valley Medical CenterFayetteville, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bladen Healthcare Llc680096796938

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 Jose Gerardo Vergara allows following entities to bill medicare on his behalf.
Entity NameBladen Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558537282
PECOS PAC ID: 6800967969
Enrollment ID: O20080617000314

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 Jose Gerardo Vergara 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 AddressPractice Location Address
Dr Jose Gerardo Vergara, MD
18 Palmer St, Suite 3,
Calais, ME 04619-1346

Ph: (207) 454-8195
Dr Jose Gerardo Vergara, MD
18 Palmer St, Suite 3,
Calais, ME 04619-1346

Ph: (207) 454-8195

Reviews and Comments


Internal Medicine Doctors in Calais, ME

David J Simmons, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 37 Palmer St, Calais, ME 04619
Phone: 207-454-8195    Fax: 207-454-3840
Dr. James Frederick Knudsen, PH.D., M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 70 Lafayette St, 421, Calais, ME 04619
Phone: 207-454-0053    
Dr. Elizabeth Eliacin, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 24 Hospital Ln, Calais, ME 04619
Phone: 207-454-9300    Fax: 207-454-9238
Christopher Peter Corcoran, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 50 Union Street, Veterans Clinic, Calais, ME 04619
Phone: 207-904-3700    Fax: 207-904-3778
Peter Scott Wilkinson, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 37 Palmer St Ste 2, Calais, ME 04619
Phone: 207-454-8233    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.