Amanda J Gagnon, DO - Medicare Pediatrics in Lewiston, ME

Amanda J Gagnon, DO is a medicare enrolled "Pediatrics" physician in Lewiston, Maine. Her current practice location is 300 Main St, Lewiston, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 662-0111.

Amanda J Gagnon is licensed to practice in Maine (license number DO3559) 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 1316574635.

Contact Information

Amanda J Gagnon, DO
300 Main St,
Lewiston, ME 04240-7027
(207) 662-0111
Not Available



Physician's Profile

Full NameAmanda J Gagnon
GenderFemale
SpecialityPediatrics
Location300 Main St, Lewiston, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316574635
  • Provider Enumeration Date: 03/25/2020
  • Last Update Date: 08/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7416371521
  • Enrollment ID: I20230911002032

Medical Identifiers

Medical identifiers for Amanda J Gagnon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316574635NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist DO3559 (Maine)Secondary
208000000XPediatrics DO3559 (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. Amanda J Gagnon allows following entities to bill medicare on her behalf.
Entity NameCentral Maine Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689653487
PECOS PAC ID: 2567379563
Enrollment ID: O20040324000441

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Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166

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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. Amanda J Gagnon 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
Amanda J Gagnon, DO
300 Main St,
Lewiston, ME 04240-7027

Ph: () -
Amanda J Gagnon, DO
300 Main St,
Lewiston, ME 04240-7027

Ph: (207) 662-0111

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Pediatrics Doctors in Lewiston, ME

Gretchen A. Pianka, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 12 High St Ste 301, Lewiston, ME 04240
Phone: 207-795-5730    Fax: 207-795-5749
Stephanie Boggs, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 300 Main St, Lewiston, ME 04240
Phone: 207-795-0111    
Marly Leigh Biermann, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 300 Main St, Lewiston, ME 04240
Phone: 207-795-7575    Fax: 207-344-0350
Kathleen S Bain, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 12 High St, Ste 301, Lewiston, ME 04240
Phone: 207-795-5730    Fax: 207-795-5749
Dr. Kathlyn Valleau Wilde, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 33 Mollison Way, Lewiston, ME 04240
Phone: 207-784-5784    Fax: 207-783-9268
Amy Belisle, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 12 High St, Suite 200, Lewiston, ME 04240
Phone: 207-795-0111    
Mrs. Linda J Glass, M.D., F.A.A.P.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 33 Mollison Way, Lewiston, ME 04240
Phone: 207-784-5782    Fax: 207-786-5756

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