Laura J Faherty, MD, MPH, MSH - Medicare Pediatrics in Portland, ME

Laura J Faherty, MD, MPH, MSH is a medicare enrolled "Pediatrics" physician in Portland, Maine. Her current practice location is 22 Bramhall St, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 662-2911.

Laura J Faherty is licensed to practice in Maine (license number MD23809) 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 1053635508.

Contact Information

Laura J Faherty, MD, MPH, MSH
22 Bramhall St,
Portland, ME 04102-3175
(207) 662-2911
(617) 568-4780



Physician's Profile

Full NameLaura J Faherty
GenderFemale
SpecialityPediatrics
Location22 Bramhall St, Portland, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053635508
  • Provider Enumeration Date: 03/25/2010
  • Last Update Date: 10/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9638319882
  • Enrollment ID: I20130711000114

Medical Identifiers

Medical identifiers for Laura J Faherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053635508NPI-NPPES
110095957AMedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD23809 (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. Laura J Faherty allows following entities to bill medicare on her behalf.
Entity NameInternal Medical Associates-ebnhc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558481879
PECOS PAC ID: 6103814371
Enrollment ID: O20040505000853

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Entity NameEast Boston Neighborhood Health Center Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316994411
PECOS PAC ID: 9032356050
Enrollment ID: O20130513000045

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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. Laura J Faherty 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
Laura J Faherty, MD, MPH, MSH
22 Bramhall St,
Portland, ME 04102-3175

Ph: (207) 662-2911
Laura J Faherty, MD, MPH, MSH
22 Bramhall St,
Portland, ME 04102-3175

Ph: (207) 662-2911

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Pediatrics Doctors in Portland, ME

Dr. Thomas Mellow, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 887 Congress St, Suite 320, Portland, ME 04102
Phone: 207-662-5522    Fax: 207-662-5527
Rushika M Conroy, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 41 Donald B Dean Dr Ste A, Portland, ME 04106
Phone: 207-661-6064    
Michael Alexander Ferguson, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 22 Bramhall St, Mmc Picu, Portland, ME 04102
Phone: 207-662-6711    
Dr. Rute S Rothwell, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 22 Bramhall St, Portland, ME 04102
Phone: 207-662-7060    
Kenneth Lombard, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 887 Congress St, Suite 410b, Portland, ME 04102
Phone: 207-662-5522    Fax: 207-662-5526
David F Cox, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 22 Bramhall St, Portland, ME 04102
Phone: 207-662-2353    
Marie H Tanzer, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 887 Congress St, Suite 320, Portland, ME 04102
Phone: 207-662-5522    Fax: 207-662-5527

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