Michelle Garcia, MD - Medicare Family Medicine in Gorham, ME

Michelle Garcia, MD is a medicare enrolled "Family Medicine" physician in Gorham, Maine. Her current practice location is 19 S Gorham Xing, Gorham, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 535-1400.

Michelle Garcia is licensed to practice in Maine (license number MD20723) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215375589.

Contact Information

Michelle Garcia, MD
19 S Gorham Xing,
Gorham, ME 04038-2690
(207) 535-1400
(207) 535-1439

Map and Direction




Physician's Profile

Full NameMichelle Garcia
GenderFemale
SpecialityFamily Medicine
Location19 S Gorham Xing, Gorham, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215375589
  • Provider Enumeration Date: 06/10/2013
  • Last Update Date: 02/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7517101520
  • Enrollment ID: I20160803002578

Medical Identifiers

Medical identifiers for Michelle Garcia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215375589NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD20723 (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. Michelle Garcia allows following entities to bill medicare on her behalf.
Entity NameMainegeneral Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063716710
PECOS PAC ID: 1254245715
Enrollment ID: O20110408000034

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. Michelle Garcia 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
Michelle Garcia, MD
19 S Gorham Xing,
Gorham, ME 04038-2690

Ph: (207) 535-1400
Michelle Garcia, MD
19 S Gorham Xing,
Gorham, ME 04038-2690

Ph: (207) 535-1400

Reviews and Comments


Family Medicine Doctors in Gorham, ME

Linda F Sanborn, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 94 Main St, Gorham, ME 04038
Phone: 207-839-5225    Fax: 207-839-7850
Tin Ha Ngoc, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 575 Main St, Gorham, ME 04038
Phone: 207-839-2559    Fax: 207-523-1135
Dr. Megan Driscoll, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 575 Main Street, Gorham, ME 04038
Phone: 207-839-2559    Fax: 207-523-1135
Brett M Loffredo, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 94 Main St, Gorham, ME 04038
Phone: 207-839-5225    Fax: 207-839-7850
Dr. Andrew Stuart Nicholson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 130 Main St, Gorham, ME 04038
Phone: 207-839-5551    
Tiffany P Segre, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 94 Main St, Gorham, ME 04038
Phone: 207-839-5225    Fax: 207-839-7850

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.