Stephen M Donnelly, DO - Medicare Pediatrics in Windham, ME

  1. Home
  2. Pediatrics
  3. ME
  4. Windham
Stephen M Donnelly, DO is a medicare enrolled "Pediatrics" physician in Windham, Maine. His current practice location is 582 Roosevelt Trail, Windham, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 892-3233.

Stephen M Donnelly is licensed to practice in Maine (license number 1581) 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 1063505782.

Contact Information

Stephen M Donnelly, DO
582 Roosevelt Trail,
Windham, ME 04062-4904
(207) 892-3233
(207) 893-0752

Map and Direction




Physician's Profile

Full NameStephen M Donnelly
GenderMale
SpecialityPediatrics
Location582 Roosevelt Trail, Windham, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063505782
  • Provider Enumeration Date: 10/02/2006
  • Last Update Date: 06/12/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0749222693
  • Enrollment ID: I20050601000633

Medical Identifiers

Medical identifiers for Stephen M Donnelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063505782NPI-NPPES
254690099MedicaidME
30226080MedicaidNH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 1581 (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. Stephen M Donnelly allows following entities to bill medicare on his behalf.
Entity NameMaine Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467477349
PECOS PAC ID: 9335043967
Enrollment ID: O20031125000026
Entity NameMaine Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134144090
PECOS PAC ID: 9335043967
Enrollment ID: O20040331000191
Entity NameMaine Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144245028
PECOS PAC ID: 9335043967
Enrollment ID: O20040331000321
Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166

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. Stephen M Donnelly 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
Stephen M Donnelly, DO
301 Us Route 1, Building C,
Scarborough, ME 04074-7609

Ph: (207) 396-8600		Stephen M Donnelly, DO
582 Roosevelt Trail,
Windham, ME 04062-4904

Ph: (207) 892-3233

Reviews and Comments


Pediatrics Doctors in Windham, ME

Emily Jane Nixon, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 582 Roosevelt Trl, Windham, ME 04062
Phone: 207-892-3233    
Melanie P Fitzsimmons, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 584 Roosevelt Trail, Windham, ME 04062
Phone: 207-892-3233    Fax: 207-893-0752

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.