Maine Medical Partners Pediatric Specialty Care - Medicare Mental Health Clinic in Portland, ME

Maine Medical Partners Pediatric Specialty Care is a medicare enrolled mental health clinic (Pediatrics - Pediatric Gastroenterology) in Portland, Maine. The current practice location for Maine Medical Partners Pediatric Specialty Care is 887 Congress St, Suite 320, Portland, Maine. For appointments, you can reach them via phone at (207) 662-5522. The mailing address for Maine Medical Partners Pediatric Specialty Care is 300 Southborough Dr, Suite 201, South Portland, Maine and phone number is (207) 661-2000.

Maine Medical Partners Pediatric Specialty Care is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1992719272. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (207) 662-5522.

Contact Information

Maine Medical Partners Pediatric Specialty Care
887 Congress St
Suite 320
Portland
ME 04102-3100
(207) 662-5522
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameMaine Medical Partners Pediatric Specialty Care
SpecialityPediatrics
Location887 Congress St, Portland, Maine
Authorized Official Name and PositionStephen J Kasabian (PRESIDENT)
Authorized Official Contact2076612000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Maine Medical Partners Pediatric Specialty Care
300 Southborough Dr
Suite 201
South Portland
ME 04106-6914

Ph: (207) 661-2000
Maine Medical Partners Pediatric Specialty Care
887 Congress St
Suite 320
Portland
ME 04102-3100

Ph: (207) 662-5522

NPI Details:

NPI Number1992719272
Provider Enumeration Date07/29/2006
Last Update Date12/13/2022
Certification Date12/13/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9335043967
Medicare Enrollment IDO20050901000035

Medical Identifiers

Medical identifiers for Maine Medical Partners Pediatric Specialty Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992719272NPI-NPPES
119910028MedicaidME
119910018MedicaidME
119910027MedicaidME
30006478MedicaidNH
30216371MedicaidNH
119910001MedicaidME
119910019MedicaidME

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
133V00000XDietitian, Registered (* (Not Available))Secondary
170300000XGenetic Counselor, Ms (Maine)Secondary
2080P0006XPediatrics - Developmental - Behavioral Pediatrics (* (Not Available))Secondary
2080P0205XPediatrics - Pediatric Endocrinology (* (Not Available))Secondary
2080P0206XPediatrics - Pediatric Gastroenterology (* (Not Available))Primary
2080P0208XPediatrics - Pediatric Infectious Diseases (* (Not Available))Secondary
2080P0210XPediatrics - Pediatric Nephrology (* (Not Available))Secondary
2080P0214XPediatrics - Pediatric Pulmonology (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LP0200XNurse Practitioner - Pediatrics (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Maine Medical Partners Pediatric Specialty Care acts as a billing entity for following providers:
Provider NameDana G Crovo
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1871665273
PECOS PAC ID: 0749174415
Enrollment ID: I20040212000325
Provider NameThomas M Bolles
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1568534089
PECOS PAC ID: 7618861220
Enrollment ID: I20040212000578
Provider NameJames V Pisini
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1245302405
PECOS PAC ID: 9537055116
Enrollment ID: I20040223000682
Provider NameCraig S Curry
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1093887408
PECOS PAC ID: 7517856339
Enrollment ID: I20040311000416
Provider NameStephanie Lash
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1821016650
PECOS PAC ID: 6800874868
Enrollment ID: I20040708000124
Provider NameHeidi L Henninger
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1215938881
PECOS PAC ID: 0749224558
Enrollment ID: I20050613001151
Provider NameJerrold S Olshan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1386673382
PECOS PAC ID: 2365487675
Enrollment ID: I20050627000677
Provider NameLeonard C Kaminow
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1548260102
PECOS PAC ID: 3577508704
Enrollment ID: I20050628000234
Provider NameJohn R Belden
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1194725754
PECOS PAC ID: 9537195300
Enrollment ID: I20050713000151
Provider NameStephen D Rioux
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1750381398
PECOS PAC ID: 1759318652
Enrollment ID: I20050722000153
Provider NamePaul L Muscat
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1366442923
PECOS PAC ID: 2961435128
Enrollment ID: I20050917000030
Provider NameGeorgann S Dickey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669472221
PECOS PAC ID: 9234153685
Enrollment ID: I20060124000832
Provider NameJanice E Dudley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427019694
PECOS PAC ID: 6507872298
Enrollment ID: I20060306000155
Provider NameTamara Hope Walters Schwartz
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1992751333
PECOS PAC ID: 8123094356
Enrollment ID: I20060426000637
Provider NameJason A Aucoin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316032824
PECOS PAC ID: 7315957487
Enrollment ID: I20060503000697
Provider NameRobert W Stein
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1194704064
PECOS PAC ID: 4284697996
Enrollment ID: I20070205000203
Provider NameAnna E Furr
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1487773867
PECOS PAC ID: 2163514282
Enrollment ID: I20070822000191
Provider NameEric Dinnerstein
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1740380153
PECOS PAC ID: 1052403060
Enrollment ID: I20070822001119
Provider NameJoseph T Alexander
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1457331035
PECOS PAC ID: 4880786623
Enrollment ID: I20070823000811
Provider NameOliver T Fremont
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1730127036
PECOS PAC ID: 0749358596
Enrollment ID: I20081006000681
Provider NamePeter F Morrison
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1407909344
PECOS PAC ID: 4082775960
Enrollment ID: I20081210000693
Provider NameMegan F Selvitelli
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1972552164
PECOS PAC ID: 3678676798
Enrollment ID: I20090131000062
Provider NameMichael A Dedekian
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1093781254
PECOS PAC ID: 5890731277
Enrollment ID: I20090706000290
Provider NameKenneth A Lombard
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1013946011
PECOS PAC ID: 1355497710
Enrollment ID: I20090926000044
Provider NameBiljana D Beretich
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1609915602
PECOS PAC ID: 4688711567
Enrollment ID: I20091026000508
Provider NameLisa L Bulthuis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689636607
PECOS PAC ID: 6002942703
Enrollment ID: I20100406000343
Provider NameKatharine E Addicott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013032036
PECOS PAC ID: 6305882044
Enrollment ID: I20100512000451
Provider NameToni Eimicke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518037910
PECOS PAC ID: 0345318234
Enrollment ID: I20101215001131
Provider NameVincent Neil Oliviero
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1952399644
PECOS PAC ID: 6204015324
Enrollment ID: I20110121000315
Provider NameAlan H Morris
Provider TypePractitioner - Other (physician)
Provider IdentifiersNPI Number: 1427080332
PECOS PAC ID: 5698955375
Enrollment ID: I20110214000069
Provider NameThomas Q Reynolds
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1811064900
PECOS PAC ID: 3971772732
Enrollment ID: I20110811000588
Provider NameJane G Morris
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1578600102
PECOS PAC ID: 0749375954
Enrollment ID: I20111007000045
Provider NameAnne W Herrick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437432507
PECOS PAC ID: 2163689209
Enrollment ID: I20120201000766
Provider NameBenjamin F Branch
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1427200534
PECOS PAC ID: 9537210307
Enrollment ID: I20120213000438
Provider NameAlexa K Craig
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1831267798
PECOS PAC ID: 3971752908
Enrollment ID: I20121005000354
Provider NamePamela Pahel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851641823
PECOS PAC ID: 7315199197
Enrollment ID: I20121129000457
Provider NameMargaretta G Byrne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851643548
PECOS PAC ID: 9537311501
Enrollment ID: I20121221000082
Provider NameChristine Lu-emerson
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1336254259
PECOS PAC ID: 8527225903
Enrollment ID: I20121228000446
Provider NameMichael S Kleinman
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1588839773
PECOS PAC ID: 1456593169
Enrollment ID: I20130808000799
Provider NameColby A Wyatt
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1073788956
PECOS PAC ID: 0345483475
Enrollment ID: I20130821000443
Provider NameThomas S Savadove
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1801918685
PECOS PAC ID: 7911057989
Enrollment ID: I20130920000566
Provider NameDiana T Page
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750613048
PECOS PAC ID: 2163559857
Enrollment ID: I20131007001173
Provider NameAlana M Rose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083056253
PECOS PAC ID: 6800021460
Enrollment ID: I20131107000168
Provider NameJaime A Eller
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932521085
PECOS PAC ID: 1557593423
Enrollment ID: I20140408000052
Provider NameDavid J Chalmers
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1669665196
PECOS PAC ID: 9931342177
Enrollment ID: I20140711000244
Provider NameMaxine C Guay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871917138
PECOS PAC ID: 9335360833
Enrollment ID: I20141027001980
Provider NameGeorge H Russell
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1366423154
PECOS PAC ID: 6305882754
Enrollment ID: I20160415001534
Provider NameDiana J Goodman
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1245457514
PECOS PAC ID: 7113182866
Enrollment ID: I20160418000382
Provider NameBenjamin C Winkler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750510772
PECOS PAC ID: 6002942646
Enrollment ID: I20160517002382
Provider NameSarah A Dodwell
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1184910697
PECOS PAC ID: 5597058024
Enrollment ID: I20160721000960
Provider NameNoah J.f. Hoffman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1790097053
PECOS PAC ID: 1355634767
Enrollment ID: I20160722001027
Provider NameJason A Helis
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1114215043
PECOS PAC ID: 7719272830
Enrollment ID: I20160827000363
Provider NameAnton M Kurtz
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1619101219
PECOS PAC ID: 4981990363
Enrollment ID: I20160912000703
Provider NameMark J Gorman
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1891765418
PECOS PAC ID: 0042224099
Enrollment ID: I20161018000238
Provider NameElizabeth Mckenna
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1336696285
PECOS PAC ID: 2961783683
Enrollment ID: I20170111001193
Provider NameRaven R Fulford
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760927347
PECOS PAC ID: 4688956857
Enrollment ID: I20170124000150
Provider NameSophie R. Herr
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548704026
PECOS PAC ID: 8729360904
Enrollment ID: I20170124000339
Provider NameLisa Murray
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326583436
PECOS PAC ID: 0446532626
Enrollment ID: I20170124000368
Provider NameCaroline M Chaloner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578008157
PECOS PAC ID: 5698057883
Enrollment ID: I20170124000971
Provider NameBrandy M Brown
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1255877239
PECOS PAC ID: 7012291834
Enrollment ID: I20170222002559
Provider NameJessica Yocz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285171959
PECOS PAC ID: 8224312996
Enrollment ID: I20170223001645
Provider NameMark L Mcallister
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1295050755
PECOS PAC ID: 0244544609
Enrollment ID: I20170613001116
Provider NameDavid H Taplinger
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1427347012
PECOS PAC ID: 4486882263
Enrollment ID: I20170823003526
Provider NameEvdokia Eleftheriou
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1346504545
PECOS PAC ID: 9436456662
Enrollment ID: I20170829003626
Provider NameAllison M Caldwell
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1881031904
PECOS PAC ID: 9234358326
Enrollment ID: I20170908000088
Provider NameDonna J Bisbee
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1669979522
PECOS PAC ID: 8224393723
Enrollment ID: I20180605000396
Provider NameNathan J Leu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386602290
PECOS PAC ID: 7810993219
Enrollment ID: I20180829003790
Provider NameAimee D Reilly
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1881172476
PECOS PAC ID: 0840542734
Enrollment ID: I20181003002610
Provider NameRoss Feller
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1265725493
PECOS PAC ID: 1254551963
Enrollment ID: I20181130002179
Provider NameGretchen Schoenfield
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1356603807
PECOS PAC ID: 5890943799
Enrollment ID: I20191015003315
Provider NameSarah Stone
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1972921682
PECOS PAC ID: 7315241882
Enrollment ID: I20191021002520
Provider NameKelly J Baldwin
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1467695437
PECOS PAC ID: 7618101429
Enrollment ID: I20200805001926
Provider NameKathryn P Brooks
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1053885277
PECOS PAC ID: 0840605937
Enrollment ID: I20210223002721
Provider NameBenjamin J Shore
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1992027213
PECOS PAC ID: 9931393931
Enrollment ID: I20210308000552
Provider NameGrant D Hogue
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1619107349
PECOS PAC ID: 9638480775
Enrollment ID: I20210308002243
Provider NameCraig M Birch
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1104263565
PECOS PAC ID: 9436402500
Enrollment ID: I20210308002599
Provider NameColyn J Watkins
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1568728244
PECOS PAC ID: 1951539923
Enrollment ID: I20210309002275
Provider NameKatherine M Kalagias
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588117022
PECOS PAC ID: 9638465768
Enrollment ID: I20210311001385
Provider NameRachel Baird
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245671205
PECOS PAC ID: 8022419951
Enrollment ID: I20210629001686
Provider NameLydia Sommer
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1073966891
PECOS PAC ID: 4486041423
Enrollment ID: I20220421002511
Provider NameKaitlyn E Anderson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1225624828
PECOS PAC ID: 8729465737
Enrollment ID: I20220512002395
Provider NameTiffani L Mcdonough
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1972764819
PECOS PAC ID: 0143447185
Enrollment ID: I20220913000596
Provider NameLily C Wang
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1487979878
PECOS PAC ID: 6901142686
Enrollment ID: I20221010000533
Provider NameCatherine Monigan
Provider TypePractitioner - Neuropsychiatry
Provider IdentifiersNPI Number: 1508386384
PECOS PAC ID: 5597011254
Enrollment ID: I20221026000938
Provider NameStuart V Braun
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1013946516
PECOS PAC ID: 8921068925
Enrollment ID: I20221206002469
Provider NameBenjamin J Drapcho
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1124523337
PECOS PAC ID: 1456600618
Enrollment ID: I20230703001213
Provider NameJacob Morgan Stout
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1184111916
PECOS PAC ID: 0941552988
Enrollment ID: I20230710001381
Provider NameEileena J Newton
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1275996407
PECOS PAC ID: 6507125598
Enrollment ID: I20230807000189
Provider NameDeepti Virmani
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1790224426
PECOS PAC ID: 9739430158
Enrollment ID: I20230918002482

Reviews and Comments

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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.