Dr Otoniel David Puerto, MD in Bangor, ME

Dr Otoniel David Puerto, MD is a medicare enrolled "Anesthesiology" physician in Bangor, Maine. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Commonwealth Anesthesia, Psc and his current practice location is 360 Broadway, Bangor, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 907-1430.

Dr Otoniel David Puerto is licensed to practice in Maine (license number MD22859) 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 1568459667.

Contact Information

	Dr Otoniel David Puerto, MD
	360 Broadway, Bangor, ME 04401
	(207) 907-1430
	(207) 907-3508

Map and Direction

Physician's Profile

Full Name	Dr Otoniel David Puerto
Gender	Male
Speciality	Anesthesiology
Experience	37 Years
Location	360 Broadway, Bangor, Maine
Accepts Medicare Assignments	Yes. 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 Otoniel David Puerto graduated from medical school in 1987

NPI Data:

NPI Number: 1568459667
Provider Enumeration Date: 10/04/2005
Last Update Date: 02/03/2022

Medicare PECOS Information:

PECOS PAC ID: 1254302565
Enrollment ID: I20040802000885

Medical Identifiers

Medical identifiers for Dr Otoniel David Puerto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568459667	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	34465 (Kentucky)	Secondary
207LP2900X	Anesthesiology - Pain Medicine	34465 (Kentucky)	Secondary
207L00000X	Anesthesiology	MD22859 (Maine)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Joseph London	London, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Commonwealth Anesthesia, Psc	5092627521	205

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 Otoniel David Puerto allows following entities to bill medicare on his behalf.

Entity Name	Commonwealth Anesthesia, Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437196300 PECOS PAC ID: 5092627521 Enrollment ID: O20031104000115

Entity Name	Kentucky Anesthesia Group Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073608634 PECOS PAC ID: 4082527890 Enrollment ID: O20031107000511

Entity Name	Triangle Anesthesia Group, Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124079314 PECOS PAC ID: 9436161585 Enrollment ID: O20060608000180

Entity Name	Northstar Anesthesia Of Kentucky, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386938900 PECOS PAC ID: 8628248069 Enrollment ID: O20110823000443

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 Otoniel David Puerto 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 Otoniel David Puerto, MD C/o St Marys Health System - Provider Enrollment, Po Box 7291, Lewiston, ME 04243-7291 Ph: (207) 777-8941	Dr Otoniel David Puerto, MD 360 Broadway, Bangor, ME 04401 Ph: (207) 907-1430

Reviews and Comments

Anesthesiology Doctors in Bangor, ME

Dane Hassani, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-1430 Fax: 207-907-3508
Dr. Dianna Logan Branson, MD ANESTHESIOLOGIST Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000 Fax: 207-973-5042
Kelly A Morgan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-262-1464
Dr. Catherine Shields, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-5918
David M. Clement, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-262-1464
Kishore Anoop Tolani, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-5918
Haithm A.s. Abdelsalam, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-275-0987

Dr Otoniel David Puerto, MD - Medicare Anesthesiology in Bangor, ME