Dr Madison Diane Tavares, PT in Kennebunk, ME - Medicare Physical Therapist Provider

Dr Madison Diane Tavares, PT is a medicare enrolled "Physical Therapist" provider in Kennebunk, Maine. Her current practice location is 65 Portland Rd Ste B, Kennebunk, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 439-5104.

Dr Madison Diane Tavares is licensed to practice in Maine (license number PT6321) 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 1518689959.

Contact Information

	Dr Madison Diane Tavares, PT
	65 Portland Rd Ste B, Kennebunk, ME 04043-6742
	(207) 439-5104
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Madison Diane Tavares
Gender	Female
Speciality	Physical Therapist
Location	65 Portland Rd Ste B, Kennebunk, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518689959
Provider Enumeration Date: 09/13/2022
Last Update Date: 09/14/2022

Medicare PECOS Information:

PECOS PAC ID: 2668825407
Enrollment ID: I20240129003082

Medical Identifiers

Medical identifiers for Dr Madison Diane Tavares such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518689959	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT6321 (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. Dr Madison Diane Tavares allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehabilitation Services Me Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164175535 PECOS PAC ID: 0042607681 Enrollment ID: O20220428001403

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. Dr Madison Diane Tavares 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
Dr Madison Diane Tavares, PT 723 Riverside St Apt 215, Portland, ME 04103-5931 Ph: (781) 947-6556	Dr Madison Diane Tavares, PT 65 Portland Rd Ste B, Kennebunk, ME 04043-6742 Ph: (207) 439-5104

Reviews and Comments

Physical Therapist in Kennebunk, ME

Arthur A Chase, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 83 Portland Rd, Suite 3, Kennebunk, ME 04043 Phone: 207-985-6181 Fax: 207-985-6239
Mrs. Tracey Roy, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 158 Ross Rd, Kennebunk, ME 04043 Phone: 207-985-7141
Mr. Dana J White, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Forest Lane, Kennebunk, ME 04043 Phone: 207-205-5225 Fax: 207-571-8413
Miss Cynthia B. Doucette, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 158 Ross Rd, Kennebunk, ME 04043 Phone: 405-513-7150 Fax: 866-588-4282
Ms. Lauren Lepage, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Portland Rd Ste 5, Kennebunk, ME 04043 Phone: 207-985-6181
Chad A Flagg, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 83 Portland Rd, Suite #3, Kennebunk, ME 04043 Phone: 207-985-6181 Fax: 207-985-6239
Ms. Debra B Alexandre, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Livewell Dr, Kennebunk, ME 04043 Phone: 207-467-6977

Dr Madison Diane Tavares, PT - Medicare Physical Therapist in Kennebunk, ME