Mr Jamie Lee Theriault, APRN in Scarborough, ME

Mr Jamie Lee Theriault, APRN is a medicare enrolled "Nurse Practitioner" in Scarborough, Maine. He went to Nova Southeastern Univ College Of Dental Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Maine Center For Cancer Medicine And Blood Disorders Pa and his current practice location is 100 Campus Dr Unit 108, Scarborough, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 303-3300.

Mr Jamie Lee Theriault is licensed to practice in Maine (license number CNP181272) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063996809.

Contact Information

	Mr Jamie Lee Theriault, APRN
	100 Campus Dr Unit 108, Scarborough, ME 04074-7172
	(207) 303-3300
	(207) 250-2139

Map and Direction

Provider's Profile

Full Name	Mr Jamie Lee Theriault
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	100 Campus Dr Unit 108, Scarborough, Maine
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jamie Lee Theriault attended and graduated from Nova Southeastern Univ College Of Dental Medicine in 2018

NPI Data:

NPI Number: 1063996809
Provider Enumeration Date: 09/18/2018
Last Update Date: 03/30/2021

Medicare PECOS Information:

PECOS PAC ID: 3971840539
Enrollment ID: I20190122000718

Medical Identifiers

Medical identifiers for Mr Jamie Lee Theriault such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063996809	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	ARNP9376950 (Florida)	Secondary
363L00000X	Nurse Practitioner	CNP181272 (Maine)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Maine Center For Cancer Medicine And Blood Disorders Pa	0840195186	43

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. Mr Jamie Lee Theriault allows following entities to bill medicare on his behalf.

Entity Name	Maine Center For Cancer Medicine & Blood Disorders Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205896107 PECOS PAC ID: 0840195186 Enrollment ID: O20031201000458

Entity Name	Central Maine Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441

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. Mr Jamie Lee Theriault 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
Mr Jamie Lee Theriault, APRN Po Box 911, Brattleboro, VT 05302-0911 Ph: (207) 303-3200	Mr Jamie Lee Theriault, APRN 100 Campus Dr Unit 108, Scarborough, ME 04074-7172 Ph: (207) 303-3300

Reviews and Comments

Nurse Practitioner Nurses in Scarborough, ME

Heidi M Roy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 96 Campus Drive, Suite 1, Scarborough, ME 04074 Phone: 207-885-9905 Fax: 207-396-5600
Jessica Adelaide Richardson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 92 Campus Dr Ste D, Scarborough, ME 04074 Phone: 207-662-8900 Fax: 207-774-9388
Ms. Heather Tolman Chase, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 96 Campus Dr, Suite 1, Scarborough, ME 04074 Phone: 207-885-9905 Fax: 207-396-5600
Shelby Jeannette Courtois, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 96 Campus Dr, Scarborough, ME 04074 Phone: 207-885-9905
Sarah-louise Elisabeth Corson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Pine Point Rd, Scarborough, ME 04074 Phone: 207-883-4999
Gayle L Robinson, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49 Spring St, Scarborough, ME 04074 Phone: 207-883-1414 Fax: 207-883-1518

Mr Jamie Lee Theriault, APRN - Medicare Nurse Practitioner in Scarborough, ME