Kellie Ann P Goudreau, MS, PA-C in Portland, ME

Kellie Ann P Goudreau, MS, PA-C is a medicare enrolled "Emergency Medicine" physician in Portland, Maine. She graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice St Marys Regional Medical Center, Careall Pc, Mainehealth and her current practice location is 144 State St, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 879-3000.

Kellie Ann P Goudreau is licensed to practice in Maine (license number PA1775) 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 1235410515.

Contact Information

	Kellie Ann P Goudreau, MS, PA-C
	144 State St, Portland, ME 04101-3776
	(207) 879-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Kellie Ann P Goudreau
Gender	Female
Speciality	Physician Assistant
Experience	14 Years
Location	144 State St, Portland, Maine
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kellie Ann P Goudreau graduated from medical school in 2011

NPI Data:

NPI Number: 1235410515
Provider Enumeration Date: 08/31/2011
Last Update Date: 12/05/2024

Medicare PECOS Information:

PECOS PAC ID: 6103099346
Enrollment ID: I20180413001399

Medical Identifiers

Medical identifiers for Kellie Ann P Goudreau such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235410515	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	PA1775 (Maine)	Primary
363AM0700X	Physician Assistant - Medical	PA2012-0052 (New Mexico)	Secondary
363AM0700X	Physician Assistant - Medical	PA1775 (Maine)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Maine Medical Center	Portland, ME	Hospital
St Mary's Regional Medical Center	Lewiston, ME	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Marys Regional Medical Center	0042107120	178
Careall Pc	1052651940	9
Mainehealth	7517860588	2288

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. Kellie Ann P Goudreau 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
Kellie Ann P Goudreau, MS, PA-C 144 State St, Portland, ME 04101-3776 Ph: (207) 604-0298	Kellie Ann P Goudreau, MS, PA-C 144 State St, Portland, ME 04101-3776 Ph: (207) 879-3000

Reviews and Comments

Emergency Medicine Doctors in Portland, ME

Thomas M Eslinger, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-7010 Fax: 207-662-7025
Dr. Christopher T Bowe, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-7010 Fax: 207-662-7025
Dr. Gregory Scott Heaphy, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000
Laura Taylor Director, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-3500
James R Blum, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2381
Ryan Christopher Jackson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 335 Brighton Ave, Portland, ME 04102 Phone: 207-662-0111 Fax: 207-662-8133
Christopher James Watson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2381

Kellie Ann P Goudreau, MS, PA-C - Medicare Physician Assistant in Portland, ME