Alison H Kopelman, MD - Medicare Pediatrics in Saco, ME

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Alison H Kopelman, MD is a medicare enrolled "Pediatrics" physician in Saco, Maine. Her current practice location is 655 Main St, Saco, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 294-5959.

Alison H Kopelman is licensed to practice in Maine (license number MD17581) 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 1093886111.

Contact Information

Alison H Kopelman, MD
655 Main St,
Saco, ME 04072-1543
(207) 294-5959
(207) 284-6291

Map and Direction




Physician's Profile

Full NameAlison H Kopelman
GenderFemale
SpecialityPediatrics
Location655 Main St, Saco, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093886111
  • Provider Enumeration Date: 11/11/2006
  • Last Update Date: 09/23/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4082898259
  • Enrollment ID: I20110413000016

Medical Identifiers

Medical identifiers for Alison H Kopelman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093886111NPI-NPPES
1093886111OtherMEANTHEM
1093886111MedicaidME
6141753OtherMECIGNA/GREATWEST
AA126422OtherHARVARD PILGRIM HEALTHCARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD17581 (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. Alison H Kopelman allows following entities to bill medicare on her behalf.
Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166
Entity NameSouthern Maine Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659392819
PECOS PAC ID: 0143208348
Enrollment ID: O20040713001060

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. Alison H Kopelman 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
Alison H Kopelman, MD
1 Medical Center Dr,
Biddeford, ME 04005-9422

Ph: (207) 282-9080		Alison H Kopelman, MD
655 Main St,
Saco, ME 04072-1543

Ph: (207) 294-5959

Reviews and Comments


Pediatrics Doctors in Saco, ME

Lynne M Tetreault, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5 Scamman St., Saco, ME 04072
Phone: 207-282-3327    
Robert A Faucette, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4 Scammon St, Suite 51, Saco, ME 04072
Phone: 207-282-3327    
Maura Beverlin Price, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 13 Industrial Park Rd, Saco, ME 04072
Phone: 207-294-5959    Fax: 207-286-9853

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.