Paul R Pultorak, DO - Medicare Anesthesiology in Bangor, ME

Paul R Pultorak, DO is a medicare enrolled "Anesthesiology" physician in Bangor, Maine. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2002 and has 22 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice St Joseph Hospital and his current practice location is 360 Broadway, Bangor, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 907-1430.

Paul R Pultorak is licensed to practice in Maine (license number DO1960) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649362724.

Contact Information

Paul R Pultorak, DO
360 Broadway,
Bangor, ME 04401
(207) 907-1430
(207) 907-3508



Physician's Profile

Full NamePaul R Pultorak
GenderMale
SpecialityAnesthesiology
Experience22 Years
Location360 Broadway, Bangor, Maine
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Paul R Pultorak attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2002
  NPI Data:
  • NPI Number: 1649362724
  • Provider Enumeration Date: 09/28/2006
  • Last Update Date: 02/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0244236909
  • Enrollment ID: I20061020000142

Medical Identifiers

Medical identifiers for Paul R Pultorak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649362724NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology DO1960 (Maine)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Joseph Hospital6406766336155

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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. Paul R Pultorak allows following entities to bill medicare on his behalf.
Entity NameSt Joseph Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154321545
PECOS PAC ID: 6406766336
Enrollment ID: O20040604000895

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Entity NameSpectrum Healthcare Partners Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245252212
PECOS PAC ID: 7618871245
Enrollment ID: O20040915000845

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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. Paul R Pultorak 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
Paul R Pultorak, DO
C/o St Marys Health System - Provider Enrollment, Po Box 7291,
Lewiston, ME 04243-7291

Ph: (207) 777-8560
Paul R Pultorak, DO
360 Broadway,
Bangor, ME 04401

Ph: (207) 907-1430

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Anesthesiology Doctors in Bangor, ME

Dane Hassani, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 360 Broadway, Bangor, ME 04401
Phone: 207-907-1430    Fax: 207-907-3508
Dr. Dianna Logan Branson, MD ANESTHESIOLOGIST
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-7000    Fax: 207-973-5042
Kelly A Morgan, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 360 Broadway, Bangor, ME 04401
Phone: 207-262-1464    
Dr. Catherine Shields, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-5918    
David M. Clement, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 360 Broadway, Bangor, ME 04401
Phone: 207-262-1464    
Kishore Anoop Tolani,
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-5918    
Haithm A.s. Abdelsalam, M.D
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-275-0987    

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