Dr Diane Marie Kidric, DO, JD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in South Portland, Maine. She went to Ohio University, College Of Osteopathic Medicine and graduated in 2007 and has 19 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Spectrum Healthcare Partners Pa, Spectrum Healthcare Partners Pa and her current practice location is
324 Gannett Dr Ste 200, South Portland, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 482-7800.
Dr Diane Marie Kidric is licensed to practice in Maine (license number DO2424) 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 1740480938.
Physician's Profile
| Full Name | Dr Diane Marie Kidric |
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| Gender | Female |
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| Speciality | Pathology |
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| Experience | 19 Years |
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| Location | 324 Gannett Dr Ste 200, South Portland, Maine |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Diane Marie Kidric attended and graduated from Ohio University, College Of Osteopathic Medicine in 2007
NPI Data:
- NPI Number: 1740480938
- Provider Enumeration Date: 07/25/2007
- Last Update Date: 03/31/2018
Medicare PECOS Information:
- PECOS PAC ID: 6901053644
- Enrollment ID: I20140521001675
Medical Identifiers
Medical identifiers for Dr Diane Marie Kidric such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740480938 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 2012-00949 (North Carolina) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | DO2424 (Maine) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Spectrum Healthcare Partners Pa | 7618871245 | 287 |
| Spectrum Healthcare Partners Pa | 7618871245 | 287 |
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 Diane Marie Kidric allows following entities to bill medicare on her behalf.
| Entity Name | Spectrum Healthcare Partners, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386757607
PECOS PAC ID: 7618871245
Enrollment ID: O20040712000376 |
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| Entity Name | Spectrum Healthcare Partners, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386757607
PECOS PAC ID: 7618871245
Enrollment ID: O20110312000005 |
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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 Diane Marie Kidric 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 |
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Dr Diane Marie Kidric, DO, JD
324 Gannett Dr Ste 200,
South Portland, ME 04106-3266
Ph: (207) 482-7861 | Dr Diane Marie Kidric, DO, JD
324 Gannett Dr Ste 200,
South Portland, ME 04106-3266
Ph: (207) 482-7800 |
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