Marc Kaplan, DO - Medicare Psychiatry & Neurology in Saco, ME

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Marc Kaplan, DO is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Saco, Maine. His current practice location is 50 Moody St, Saco, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 294-4700.

Marc Kaplan is licensed to practice in Maine (license number 1535) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871513267.

Contact Information

Marc Kaplan, DO
50 Moody St,
Saco, ME 04072-1536
(207) 294-4700
(207) 294-4939

Map and Direction




Physician's Profile

Full NameMarc Kaplan
GenderMale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location50 Moody St, Saco, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871513267
  • Provider Enumeration Date: 07/20/2006
  • Last Update Date: 12/21/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4880639939
  • Enrollment ID: I20050621000096

Medical Identifiers

Medical identifiers for Marc Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871513267NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 1535 (Maine)Primary

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. Marc Kaplan allows following entities to bill medicare on his behalf.
Entity NameSweetser
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538122445
PECOS PAC ID: 8325946213
Enrollment ID: O20031230000339

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. Marc Kaplan 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
Marc Kaplan, DO
6 Apple Ln,
Kennebunk, ME 04043-7424

Ph: () -		Marc Kaplan, DO
50 Moody St,
Saco, ME 04072-1536

Ph: (207) 294-4700

Reviews and Comments


Psychiatry & Neurology Doctors in Saco, ME

Amy D Ouellette, PSYCHIATRIST
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 333 Lincoln St, Saco, ME 04072
Phone: 207-282-1500    Fax: 207-283-1240
Dr. Nicolas Demetrius Sikaczowski, DO
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 110 Main St, Ste 1300, 3rd Floor, Saco, ME 04072
Phone: 207-200-4789    Fax: 786-685-2120
Douglas Galloway, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 50 Moody St, Saco, ME 04072
Phone: 207-294-4657    
Cynthia M Burnham, DO
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 655 Main St, Saco, ME 04072
Phone: 207-602-3571    Fax: 207-602-3573

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.