Mary J Connolly, MD - Medicare Family Practice in South Portland, ME

Mary J Connolly, MD is a medicare enrolled "Family Medicine" physician in South Portland, Maine. She went to University Of Massachusetts Medical School and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Intermed Pa and her current practice location is 100 Foden Road, East, Suite 203, South Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 874-1489.

Mary J Connolly is licensed to practice in Maine (license number MD18621) 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 1558535559.

Contact Information

Mary J Connolly, MD
100 Foden Road, East, Suite 203,
South Portland, ME 04106-2327
(207) 874-1489
(207) 523-8590



Physician's Profile

Full NameMary J Connolly
GenderFemale
SpecialityFamily Practice
Experience17 Years
Location100 Foden Road, East, South Portland, 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:
  • Mary J Connolly attended and graduated from University Of Massachusetts Medical School in 2007
  NPI Data:
  • NPI Number: 1558535559
  • Provider Enumeration Date: 04/22/2008
  • Last Update Date: 07/24/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4880874916
  • Enrollment ID: I20110208000093

Medical Identifiers

Medical identifiers for Mary J Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558535559NPI-NPPES
32000562MedicaidNH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD18621 (Maine)Primary
208D00000XGeneral Practice 232521 (Massachusetts)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermed Pa5092605261149

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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. Mary J Connolly allows following entities to bill medicare on her behalf.
Entity NameIntermed Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467422733
PECOS PAC ID: 5092605261
Enrollment ID: O20040319000548

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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. Mary J Connolly 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
Mary J Connolly, MD
100 Foden Rd, West, Suite 203,
South Portland, ME 04106

Ph: (207) 828-0361
Mary J Connolly, MD
100 Foden Road, East, Suite 203,
South Portland, ME 04106-2327

Ph: (207) 874-1489

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Family Medicine Doctors in South Portland, ME

Alexandra Roberts, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Foden Rd Ste 203, South Portland, ME 04106
Phone: 207-879-1489    
Dr. Joseph Py, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 400 Western Ave, South Portland, ME 04106
Phone: 207-774-7111    
Anastasia R Norman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 96 Ocean St Ste 4, South Portland, ME 04106
Phone: 207-303-8800    
Bradford S. Wagner, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 50 Foden Rd Ste 3, South Portland, ME 04106
Phone: 207-874-1489    Fax: 207-523-8590
Dr. John Edward Kazilionis, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 778 Main St, Suite 1, South Portland, ME 04106
Phone: 207-775-7758    Fax: 207-879-7758
Tara Kay Pelletier, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 100 Foden Road East, Suite 201, South Portland, ME 04106
Phone: 207-874-1489    Fax: 207-523-8590
Elizabeth R Bobzien, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Foden Rd, East, Suite 203, South Portland, ME 04106
Phone: 207-874-1489    Fax: 207-523-8590

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