Mark J Integlia, MD in Portland, ME

Mark J Integlia, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Portland, Maine. His current practice location is 887 Congress St, Suite 410b, Portland, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 662-5522.

Mark J Integlia is licensed to practice in Maine (license number 015427) 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 1790717312.

Contact Information

	Mark J Integlia, MD
	887 Congress St, Suite 410b, Portland, ME 04102-3100
	(207) 662-5522
	(207) 662-5526

Map and Direction

Physician's Profile

Full Name	Mark J Integlia
Gender	Male
Speciality	Pediatrics - Pediatric Gastroenterology
Location	887 Congress St, Portland, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790717312
Provider Enumeration Date: 07/06/2006
Last Update Date: 01/10/2011

Medicare PECOS Information:

PECOS PAC ID: 1355376377
Enrollment ID: I20110601000339

Medical Identifiers

Medical identifiers for Mark J Integlia such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790717312	NPI	-	NPPES
283380099	Medicaid	ME
30201387	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	015427 (Maine)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	015427 (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. Mark J Integlia allows following entities to bill medicare on his behalf.

Entity Name	Elliot Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285627935 PECOS PAC ID: 6103727920 Enrollment ID: O20040115000634

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. Mark J Integlia 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
Mark J Integlia, MD 301 Us Route 1, Building C, Scarborough, ME 04074-7609 Ph: (207) 396-8600	Mark J Integlia, MD 887 Congress St, Suite 410b, Portland, ME 04102-3100 Ph: (207) 662-5522

Reviews and Comments

Pediatrics Doctors in Portland, ME

Rushika M Conroy, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 41 Donald B Dean Dr Ste A, Portland, ME 04106 Phone: 207-661-6064
Michael Alexander Ferguson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Mmc Picu, Portland, ME 04102 Phone: 207-662-6711
Dr. Rute S Rothwell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-7060
Kenneth Lombard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 887 Congress St, Suite 410b, Portland, ME 04102 Phone: 207-662-5522 Fax: 207-662-5526
David F Cox, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2353
Marie H Tanzer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St, Suite 320, Portland, ME 04102 Phone: 207-662-5522 Fax: 207-662-5527
Daniel Sobel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 800-482-1415 Fax: 800-482-1415

Mark J Integlia, MD - Medicare Pediatrics in Portland, ME