Karen Fox, PT - Medicare Physical Therapist in Gorham, ME

Karen Fox, PT is a medicare enrolled "Physical Therapist" provider in Gorham, Maine. Her current practice location is 59 Sleepy Hollow Dr, Gorham, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 712-8172.

Karen Fox is licensed to practice in Maine (license number 00977) 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 1245673078.

Contact Information

Karen Fox, PT
59 Sleepy Hollow Dr,
Gorham, ME 04038-2563
(207) 712-8172
(207) 893-2992

Map and Direction




Healthcare Provider's Profile

Full NameKaren Fox
GenderFemale
SpecialityPhysical Therapist
Location59 Sleepy Hollow Dr, Gorham, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245673078
  • Provider Enumeration Date: 04/11/2013
  • Last Update Date: 04/11/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7012911753
  • Enrollment ID: I20130829000451

Medical Identifiers

Medical identifiers for Karen Fox such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245673078NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 00977 (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. Karen Fox allows following entities to bill medicare on her behalf.
Provider NameAndroscoggin Home Health Services Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1013957687
PECOS PAC ID: 2668467614
Enrollment ID: O20040419000628

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. Karen Fox 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
Karen Fox, PT
59 Sleepy Hollow Dr,
Gorham, ME 04038-2563

Ph: (207) 712-8172
Karen Fox, PT
59 Sleepy Hollow Dr,
Gorham, ME 04038-2563

Ph: (207) 712-8172

Reviews and Comments


Physical Therapist in Gorham, ME

Christopher Michael Eidson, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 347 Main St Unit 1, Gorham, ME 04038
Phone: 207-839-9090    Fax: 207-839-9091
Jennifer Lynne Danley, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 381 Main St Ste 1, Gorham, ME 04038
Phone: 207-839-9090    Fax: 207-839-9091
Megan Helfrich,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 50 New Portland Rd, Gorham, ME 04038
Phone: 207-839-5757    
Courtney Doyon, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 94 Main St, Gorham, ME 04038
Phone: 207-839-5860    Fax: 207-839-2499
Laura J. Peaslee, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 94 Main St, Gorham, ME 04038
Phone: 207-839-5860    Fax: 207-839-2499
Elevate Physical Therapy Llc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 14 Vista Dr, Ste 100, Gorham, ME 04038
Phone: 207-222-8055    Fax: 207-222-8053
Dawn Nadeau, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 50 New Portland Rd, Gorham, ME 04038
Phone: 207-839-5757    

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.