Lisa Gouldsbrough, DO - Medicare Pediatrics in Kennebunk, ME

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Lisa Gouldsbrough, DO is a medicare enrolled "Pediatrics" physician in Kennebunk, Maine. Her current practice location is 3 Shape Drive, 2nd Floor, Kennebunk, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 467-8930.

Lisa Gouldsbrough is licensed to practice in Maine (license number 1395) 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 1255317897.

Contact Information

Lisa Gouldsbrough, DO
3 Shape Drive, 2nd Floor,
Kennebunk, ME 04043
(207) 467-8930
(467) 985-8459

Map and Direction




Physician's Profile

Full NameLisa Gouldsbrough
GenderFemale
SpecialityPediatrics
Location3 Shape Drive, Kennebunk, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255317897
  • Provider Enumeration Date: 12/15/2005
  • Last Update Date: 10/27/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1759327984
  • Enrollment ID: I20050628001115

Medical Identifiers

Medical identifiers for Lisa Gouldsbrough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255317897NPI-NPPES
242320099MedicaidME

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 1395 (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. Lisa Gouldsbrough 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. Lisa Gouldsbrough 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
Lisa Gouldsbrough, DO
1 Medical Center Dr, Po Box 626,
Biddeford, ME 04005-9422

Ph: (207) 282-9080		Lisa Gouldsbrough, DO
3 Shape Drive, 2nd Floor,
Kennebunk, ME 04043

Ph: (207) 467-8930

Reviews and Comments


Pediatrics Doctors in Kennebunk, ME

Christopher Rogers, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3 Shape Dr, Kennebunk, ME 04043
Phone: 207-467-8930    
Dr. Barry Hugo, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4 Shape Dr, Kennebunk, ME 04043
Phone: 207-467-8955    Fax: 207-467-8959
Donald R Burgess, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 3 Shape Dr, Kennebunk, ME 04043
Phone: 207-467-8983    Fax: 207-467-8981
Dr. Deirdre Burns Mondor, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3 Shape Dr, Kennebunk, ME 04043
Phone: 207-467-8930    

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.

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