Joanmarie Dietz Pellegrini, MD in Bangor, ME

Joanmarie Dietz Pellegrini, MD is a medicare enrolled "Surgery - Trauma Surgery" physician in Bangor, Maine. She went to Tufts University School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice St Joseph Hospital, Incare Lawrence, Pllc, Incare Llc, Incare Llc and her current practice location is 360 Broadway, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 907-3650.

Joanmarie Dietz Pellegrini is licensed to practice in Maine (license number MD15414) 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 1265402242.

Contact Information

	Joanmarie Dietz Pellegrini, MD
	360 Broadway, Bangor, ME 04401-3979
	(207) 907-3650
	(207) 907-3660

Map and Direction

Physician's Profile

Full Name	Joanmarie Dietz Pellegrini
Gender	Female
Speciality	General Surgery
Experience	31 Years
Location	360 Broadway, Bangor, Maine
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Joanmarie Dietz Pellegrini attended and graduated from Tufts University School Of Medicine in 1993

NPI Data:

NPI Number: 1265402242
Provider Enumeration Date: 01/24/2006
Last Update Date: 02/03/2022

Medicare PECOS Information:

PECOS PAC ID: 2668404898
Enrollment ID: I20050908000334

Medical Identifiers

Medical identifiers for Joanmarie Dietz Pellegrini such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265402242	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	036-138577 (Illinois)	Secondary
208600000X	Surgery	81948 (Massachusetts)	Secondary
2086S0127X	Surgery - Trauma Surgery	81948 (Massachusetts)	Secondary
2086S0127X	Surgery - Trauma Surgery	015414 (Maine)	Secondary
2086S0127X	Surgery - Trauma Surgery	MD15414 (Maine)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Hospital	Bangor, ME	Hospital
Lawrence General Hospital	Lawrence, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Joseph Hospital	6406766336	155
Incare Lawrence, Pllc	0648678953	14
Incare Llc	1153658851	33
Incare Llc	1153658851	33

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. Joanmarie Dietz Pellegrini allows following entities to bill medicare on her behalf.

Entity Name	St Joseph Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154321545 PECOS PAC ID: 6406766336 Enrollment ID: O20040604000895

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. Joanmarie Dietz Pellegrini 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 Address	Practice Location Address
Joanmarie Dietz Pellegrini, MD C/o St Marys Health System - Provider Enrollment, Po Box 7291, Lewiston, ME 04243-7291 Ph: (207) 777-8560	Joanmarie Dietz Pellegrini, MD 360 Broadway, Bangor, ME 04401-3979 Ph: (207) 907-3650

Reviews and Comments

Surgery Doctors in Bangor, ME

Dr. Pedro Pablo Gomez Valencia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-3650 Fax: 207-907-3660
Dr. Peter Beaulieu, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000
Dr. Gary A Keller, M.D. PH.D Surgery Medicare: Medicare Enrolled Practice Location: 417 State St Ste 421, Bangor, ME 04401 Phone: 207-973-5293 Fax: 207-973-5263
Marie V Nguyen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000
Dr. Brad Edward Waddell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 417 State St, Suite 330 Webber East, Bangor, ME 04401 Phone: 207-973-8881 Fax: 207-973-8880
Maria Michailidou, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 417 State St Ste 330, Bangor, ME 04401 Phone: 207-973-8881

Joanmarie Dietz Pellegrini, MD - Medicare General Surgery in Bangor, ME