Dr Thomas J Vanidestine Jr, DC, CCSP - Medicare Chiropractor in Bangor, ME

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Dr Thomas J Vanidestine Jr, DC, CCSP is a medicare enrolled "Chiropractor" provider in Bangor, Maine. His current practice location is 336 Mount Hope Ave, Suite 11, Bangor, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 942-2800.

Dr Thomas J Vanidestine Jr is licensed to practice in Maine (license number CR814) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538108022.

Contact Information

Dr Thomas J Vanidestine Jr, DC, CCSP
336 Mount Hope Ave, Suite 11,
Bangor, ME 04401-4236
(207) 942-2800
(207) 990-2362

Map and Direction




Healthcare Provider's Profile

Full NameDr Thomas J Vanidestine Jr
GenderMale
SpecialityChiropractor
Location336 Mount Hope Ave, Bangor, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538108022
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 12/01/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7315982964
  • Enrollment ID: I20050623000516

Medical Identifiers

Medical identifiers for Dr Thomas J Vanidestine Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538108022NPI-NPPES
001039OtherMEBLUE CROSS/ANTHEM
121660000MedicaidME
121660099MedicaidME
5734579OtherMECIGNA
5314274OtherMEAETNA
P00282285OtherMERAILROAD MEDICARE
610664OtherMEGREAT WEST/ACN
68974OtherMEFIRST HEALTH
MN0080OtherMEHARVARD PILGRIM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor CR814 (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. Dr Thomas J Vanidestine Jr allows following entities to bill medicare on his behalf.
Provider NameKatahdin Valley Health Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1376618546
PECOS PAC ID: 4880659903
Enrollment ID: O20041130000688

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 Thomas J Vanidestine Jr 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
Dr Thomas J Vanidestine Jr, DC, CCSP
336 Mount Hope Ave, Suite 11,
Bangor, ME 04401-4236

Ph: (207) 942-2800		Dr Thomas J Vanidestine Jr, DC, CCSP
336 Mount Hope Ave, Suite 11,
Bangor, ME 04401-4236

Ph: (207) 942-2800

Reviews and Comments


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Vanidestine Chiropractic, Inc
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Practice Location: 336 Mount Hope Ave Ste 11, Bangor, ME 04401
Phone: 207-942-2800    Fax: 207-990-2632

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.