Cecilia Trydestam, MD - Medicare General Surgery in Lewiston, ME

Cecilia Trydestam, MD is a medicare enrolled "Surgery" physician in Lewiston, Maine. She went to Temple University School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice St Marys Regional Medical Center and her current practice location is 93 Campus Ave I2 Wing, Lewiston, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 777-8650.

Cecilia Trydestam is licensed to practice in Maine (license number MD24297) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811121684.

Contact Information

Cecilia Trydestam, MD
93 Campus Ave I2 Wing,
Lewiston, ME 04240
(207) 777-8650
(207) 777-8641



Physician's Profile

Full NameCecilia Trydestam
GenderFemale
SpecialityGeneral Surgery
Experience15 Years
Location93 Campus Ave I2 Wing, Lewiston, Maine
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Cecilia Trydestam attended and graduated from Temple University School Of Medicine in 2009
  NPI Data:
  • NPI Number: 1811121684
  • Provider Enumeration Date: 05/08/2009
  • Last Update Date: 03/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7719113471
  • Enrollment ID: I20201221002471

Medical Identifiers

Medical identifiers for Cecilia Trydestam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811121684NPI-NPPES
P01625698OtherWARR MEDICARE WVH
1811121684MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD60458584 (Washington)Secondary
390200000XStudent In An Organized Health Care Education/training Program (Maine)Secondary
208600000XSurgery MD24297 (Maine)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Mary's Regional Medical CenterLewiston, MEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Marys Regional Medical Center0042107120203

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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. Cecilia Trydestam allows following entities to bill medicare on her behalf.
Entity NameSt Marys Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447226584
PECOS PAC ID: 0042107120
Enrollment ID: O20040303000236

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Entity NameMaine Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285738310
PECOS PAC ID: 9335043967
Enrollment ID: O20040525000396

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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. Cecilia Trydestam 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
Cecilia Trydestam, MD
C/o St Marys Health System - Provider Enrollment, Po Box 7291,
Lewiston, ME 04243-7291

Ph: (207) 777-8950
Cecilia Trydestam, MD
93 Campus Ave I2 Wing,
Lewiston, ME 04240

Ph: (207) 777-8650

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Surgery Doctors in Lewiston, ME

David S Lewis, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 12 High St Ste 401, Lewiston, ME 04240
Phone: 207-795-5767    Fax: 207-795-2732
David J Burke, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 12 High St, Ste. 401, Lewiston, ME 04240
Phone: 207-795-5767    
Ms. Marsha C O'rourke, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 99 Campus Ave, Suite 303, Lewiston, ME 04240
Phone: 207-782-5424    Fax: 207-782-1136
Allan M Ingraham, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 60 High St, Cmhvi-y1, Lewiston, ME 04240
Phone: 207-795-8260    Fax: 207-795-8281
Dr. Kevin L Price, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 12 High St, Suite 401, Lewiston, ME 04240
Phone: 207-795-5767    Fax: 207-795-2732
Gregory D'augustine, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 10 High St, Suite 202, Lewiston, ME 04240
Phone: 207-784-2903    
Dr. Scott Raymond Johnson, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 12 High St Ste 401, Lewiston, ME 04240
Phone: 207-795-5767    Fax: 207-795-2732

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