Peter Ver Ploeg, - Medicare Dentist in Springvale, ME

Peter Ver Ploeg, is a medicare enrolled "Dentist - General Practice" provider in Springvale, Maine. His current practice location is 15 Oak St, Springvale, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 490-6900.

Peter Ver Ploeg is licensed to practice in Maine (license number DEN4656) 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 1457837999.

Contact Information

Peter Ver Ploeg,
15 Oak St,
Springvale, ME 04083-1926
(207) 490-6900
(207) 324-0546

Map and Direction




Healthcare Provider's Profile

Full NamePeter Ver Ploeg
GenderMale
SpecialityDentist - General Practice
Location15 Oak St, Springvale, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457837999
  • Provider Enumeration Date: 07/18/2018
  • Last Update Date: 07/18/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1759635642
  • Enrollment ID: I20230706000584

Medical Identifiers

Medical identifiers for Peter Ver Ploeg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457837999NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DEN4656 (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. Peter Ver Ploeg allows following entities to bill medicare on his behalf.
Entity NameYork County Community Action Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497923916
PECOS PAC ID: 5496701153
Enrollment ID: O20090225000610

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. Peter Ver Ploeg 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
Peter Ver Ploeg,
15 Oak St,
Springvale, ME 04083-1926

Ph: (207) 490-6900
Peter Ver Ploeg,
15 Oak St,
Springvale, ME 04083-1926

Ph: (207) 490-6900

Reviews and Comments


Dentist in Springvale, ME

Dr. Robert L Grace, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 15 Oak St, Springvale, ME 04083
Phone: 207-490-6900    Fax: 207-324-0546
Dr. Frederick Ira Rosenberg, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 460 Main Street, Suite 1, Springvale, ME 04083
Phone: 207-324-6182    Fax: 207-324-6182
Dr. Jay Morgan Knudsen, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 460 Main Street, Suite 1, Springvale, ME 04083
Phone: 207-324-6182    Fax: 207-324-4336
Robert Mcvety,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 460 Main Street, Suite #1, Springvale, ME 04083
Phone: 207-324-6182    
Dr. Kendra Anne Mendez, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 15 Oak St, Springvale, ME 04083
Phone: 207-490-6900    
Dr. Jacqueline Lee Auger, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 15 Oak St, Springvale, ME 04083
Phone: 207-490-6900    

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.