Gretchen A Pianka, MD - Medicare Pediatrics in Lewiston, ME

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Gretchen A Pianka, MD is a medicare enrolled "Pediatrics" physician in Lewiston, Maine. Her current practice location is 12 High St Ste 301, Lewiston, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 795-5730.

Gretchen A Pianka is licensed to practice in Maine (license number 016560) 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 1013953991.

Contact Information

Gretchen A Pianka, MD
12 High St Ste 301,
Lewiston, ME 04240-7690
(207) 795-5730
(207) 795-5749

Map and Direction




Physician's Profile

Full NameGretchen A Pianka
GenderFemale
SpecialityPediatrics
Location12 High St Ste 301, Lewiston, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013953991
  • Provider Enumeration Date: 06/21/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2769458009
  • Enrollment ID: I20040908000471

Medical Identifiers

Medical identifiers for Gretchen A Pianka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013953991NPI-NPPES
411940099MedicaidME
P00204198OtherMERAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 016560 (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. Gretchen A Pianka allows following entities to bill medicare on her behalf.
Entity NameBridgton Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154370153
PECOS PAC ID: 8123919099
Enrollment ID: O20040322000534
Entity NameCentral Maine Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689653487
PECOS PAC ID: 2567379563
Enrollment ID: O20040324000441
Entity NamePortland Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609120856
PECOS PAC ID: 5395998017
Enrollment ID: O20130206000120

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. Gretchen A Pianka 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
Gretchen A Pianka, MD
9 Rivers Edge Dr,
Kennebunk, ME 04043-7738

Ph: (207) 651-6366		Gretchen A Pianka, MD
12 High St Ste 301,
Lewiston, ME 04240-7690

Ph: (207) 795-5730

Reviews and Comments


Pediatrics Doctors in Lewiston, ME

Stephanie Boggs, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 300 Main St, Lewiston, ME 04240
Phone: 207-795-0111    
Marly Leigh Biermann, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 300 Main St, Lewiston, ME 04240
Phone: 207-795-7575    Fax: 207-344-0350
Kathleen S Bain, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 12 High St, Ste 301, Lewiston, ME 04240
Phone: 207-795-5730    Fax: 207-795-5749
Dr. Kathlyn Valleau Wilde, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 33 Mollison Way, Lewiston, ME 04240
Phone: 207-784-5784    Fax: 207-783-9268
Amy Belisle, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 12 High St, Suite 200, Lewiston, ME 04240
Phone: 207-795-0111    
Mrs. Linda J Glass, M.D., F.A.A.P.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 33 Mollison Way, Lewiston, ME 04240
Phone: 207-784-5782    Fax: 207-786-5756

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.