Karen S Heard Cushing, MD - Medicare Internal Medicine in Portland, ME

Karen S Heard Cushing, MD is a medicare enrolled "Internal Medicine" physician in Portland, Maine. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Intermed Pa and her current practice location is 84 Marginal Way Ste 800, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 774-5816.

Karen S Heard Cushing is licensed to practice in Maine (license number MD23367) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720421217.

Contact Information

Karen S Heard Cushing, MD
84 Marginal Way Ste 800,
Portland, ME 04101-2475
(207) 774-5816
Not Available

Map and Direction




Physician's Profile

Full NameKaren S Heard Cushing
GenderFemale
SpecialityInternal Medicine
Experience36 Years
Location84 Marginal Way Ste 800, Portland, Maine
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Karen S Heard Cushing attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1988
  NPI Data:
  • NPI Number: 1720421217
  • Provider Enumeration Date: 04/15/2013
  • Last Update Date: 01/15/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4183859424
  • Enrollment ID: I20200206001470

Medical Identifiers

Medical identifiers for Karen S Heard Cushing such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720421217NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD23367 (Maine)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vna Home Health & HospiceSo portland, MEHospice
Maine Medical CenterPortland, MEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermed Pa5092605261153

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. Karen S Heard Cushing allows following entities to bill medicare on her behalf.
Entity NameIntermed Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467422733
PECOS PAC ID: 5092605261
Enrollment ID: O20040319000548
Entity NameMaine Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073527388
PECOS PAC ID: 9335043967
Enrollment ID: O20050401000844

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. Karen S Heard Cushing 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
Karen S Heard Cushing, MD
100 Gannett Dr Ste C,
South Portland, ME 04106-5900

Ph: (207) 828-0361
Karen S Heard Cushing, MD
84 Marginal Way Ste 800,
Portland, ME 04101-2475

Ph: (207) 774-5816

Reviews and Comments


Internal Medicine Doctors in Portland, ME

Andrew J. Hsu, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 155 Fore River Pkwy, Portland, ME 04102
Phone: 207-535-1100    Fax: 207-879-8787
David A Polisner, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 144 State St, Portland, ME 04101
Phone: 207-879-3000    
Brian D Moore, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 144 State St, Portland, ME 04101
Phone: 207-879-3000    
Marc Stuart Hoffman, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 144 State St, Portland, ME 04101
Phone: 207-879-3265    
Janet D Mcculley, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 22 Bramhall St, Portland, ME 04102
Phone: 207-662-4618    
Saeeda Fatima, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 22 Bramhall St Rm 2227, Portland, ME 04102
Phone: 207-662-4618    
Dr. Thalia Mayes, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 161 Marginal Way, Portland, ME 04101
Phone: 207-773-7964    Fax: 207-773-9073

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.