Dr Stacey Anne Rotta, MD in Portland, ME - Medicare General Surgery

Dr Stacey Anne Rotta, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Portland, Maine. She went to University Of California, Davis School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice District Medical Group Inc and her current practice location is 887 Congress St, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 774-6368.

Dr Stacey Anne Rotta is licensed to practice in Maine (license number MD23505) 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 1093077703.

Contact Information

	Dr Stacey Anne Rotta, MD
	887 Congress St, Portland, ME 04102-3100
	(207) 774-6368
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Stacey Anne Rotta
Gender	Female
Speciality	General Surgery
Experience	12 Years
Location	887 Congress St, Portland, 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:

Dr Stacey Anne Rotta attended and graduated from University Of California, Davis School Of Medicine in 2012

NPI Data:

NPI Number: 1093077703
Provider Enumeration Date: 06/10/2012
Last Update Date: 03/23/2020

Medicare PECOS Information:

PECOS PAC ID: 0840501003
Enrollment ID: I20230919001759

Medical Identifiers

Medical identifiers for Dr Stacey Anne Rotta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093077703	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0102X	Surgery - Surgical Critical Care	A156409 (California)	Secondary
2086S0102X	Surgery - Surgical Critical Care	MD23505 (Maine)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Valleywise Health Medical Center	Phoenix, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
District Medical Group Inc	7315086691	356

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. Dr Stacey Anne Rotta allows following entities to bill medicare on her behalf.

Entity Name	District Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583

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. Dr Stacey Anne Rotta 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
Dr Stacey Anne Rotta, MD 887 Congress St, Portland, ME 04102-3100 Ph: (207) 774-6368	Dr Stacey Anne Rotta, MD 887 Congress St, Portland, ME 04102-3100 Ph: (207) 774-6368

Reviews and Comments

Surgery Doctors in Portland, ME

Virginia A Eddy, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 887 Congress St., Portland, ME 04102 Phone: 207-774-2311
Leslie S Wu, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St, Suite 400, Portland, ME 04102 Phone: 207-774-6368 Fax: 207-774-9388
Dr. Benjamin Lincoln Russell, DO Surgery Medicare: Medicare Enrolled Practice Location: 195 Fore River Pkwy, Suite 420, Portland, ME 04102 Phone: 207-553-6500 Fax: 207-553-6520
Dr. Forest Raymond Sheppard, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St Ste 210, Portland, ME 04102 Phone: 207-774-6368 Fax: 207-774-9388
Dr. Laura Teresa Withers, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St Ste 210, Portland, ME 04102 Phone: 207-774-2381
Ms. Daly Anne Johnson, PA-C Surgery Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111

Dr Stacey Anne Rotta, MD - Medicare General Surgery in Portland, ME