John Tivnan, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Bangor, Maine. He went to University Of New England, College Of Osteo Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Northeast Pain Management Pc and his current practice location is
1365 Broadway, Bangor, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 942-6226.
John Tivnan is licensed to practice in Maine (license number DO3257) 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 1518315142.
Physician's Profile
| Full Name | John Tivnan |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 8 Years |
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| Location | 1365 Broadway, Bangor, Maine |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- John Tivnan attended and graduated from University Of New England, College Of Osteo Medicine in 2016
NPI Data:
- NPI Number: 1518315142
- Provider Enumeration Date: 05/24/2016
- Last Update Date: 01/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890052880
- Enrollment ID: I20210727003039
Medical Identifiers
Medical identifiers for John Tivnan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518315142 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207LP2900X | Anesthesiology - Pain Medicine | DO3257 (Maine) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | DO3257 (Maine) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northeast Pain Management Pc | 1759355860 | 12 |
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. John Tivnan allows following entities to bill medicare on his behalf.
| Entity Name | Northeast Pain Management Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578579868
PECOS PAC ID: 1759355860
Enrollment ID: O20040824001047 |
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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. John Tivnan 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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John Tivnan, DO
1365 Broadway,
Bangor, ME 04401-2401
Ph: (207) 942-6226 | John Tivnan, DO
1365 Broadway,
Bangor, ME 04401-2401
Ph: (207) 942-6226 |
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