Tara Kay Pelletier, DO - Medicare Family Medicine in South Portland, ME

Tara Kay Pelletier, DO is a medicare enrolled "Family Medicine" physician in South Portland, Maine. Her current practice location is 100 Foden Road East, Suite 201, South Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 874-1489.

Tara Kay Pelletier is licensed to practice in Maine (license number 1957) 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 1124016118.

Contact Information

Tara Kay Pelletier, DO
100 Foden Road East, Suite 201,
South Portland, ME 04106
(207) 874-1489
(207) 523-8590



Physician's Profile

Full NameTara Kay Pelletier
GenderFemale
SpecialityFamily Medicine
Location100 Foden Road East, South Portland, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124016118
  • Provider Enumeration Date: 10/12/2005
  • Last Update Date: 02/22/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2264469089
  • Enrollment ID: I20061109000149

Medical Identifiers

Medical identifiers for Tara Kay Pelletier such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124016118NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 224963 (Massachusetts)Secondary
207Q00000XFamily Medicine 1957 (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. Tara Kay Pelletier allows following entities to bill medicare on her behalf.
Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639194509
PECOS PAC ID: 7517860588
Enrollment ID: O20040206000472

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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. Tara Kay Pelletier 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
Tara Kay Pelletier, DO
100 Foden Road West, Suite 203,
South Portland, ME 04106

Ph: (207) 828-0361
Tara Kay Pelletier, DO
100 Foden Road East, Suite 201,
South Portland, ME 04106

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
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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