Mamatha Sirivol, MD in Hampden, ME - Medicare Family Practice

Mamatha Sirivol, MD is a medicare enrolled "Family Medicine" physician in Hampden, Maine. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Eastern Maine Medical Center and her current practice location is 7 Main Rd N, Hampden, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 862-9400.

Mamatha Sirivol is licensed to practice in Maine (license number MD21574) 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 1508091489.

Contact Information

	Mamatha Sirivol, MD
	7 Main Rd N, Hampden, ME 04444-1334
	(207) 862-9400
	(207) 862-9411

Map and Direction

Physician's Profile

Full Name	Mamatha Sirivol
Gender	Female
Speciality	Family Practice
Experience	18 Years
Location	7 Main Rd N, Hampden, 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:

Mamatha Sirivol graduated from medical school in 2006

NPI Data:

NPI Number: 1508091489
Provider Enumeration Date: 05/21/2009
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 0749439354
Enrollment ID: I20171117002467

Medical Identifiers

Medical identifiers for Mamatha Sirivol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508091489	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	57322-20 (Wisconsin)	Secondary
207Q00000X	Family Medicine	MD21574 (Maine)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northern Light Home Care & Hospice	So portland, ME	Home health agency
Amedisys Maine, Pllc	Bangor, ME	Home health agency
Vna Home Health & Hospice	So portland, ME	Hospice
Eastern Maine Medical Center	Bangor, ME	Hospital
St Joseph Hospital	Bangor, ME	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eastern Maine Medical Center	2062315161	577

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. Mamatha Sirivol allows following entities to bill medicare on her behalf.

Entity Name	Eastern Maine Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088

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. Mamatha Sirivol 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
Mamatha Sirivol, MD 43 Whiting Hill Rd Ste 300, Brewer, ME 04412-1006 Ph: (207) 973-5035	Mamatha Sirivol, MD 7 Main Rd N, Hampden, ME 04444-1334 Ph: (207) 862-9400

Reviews and Comments

Family Medicine Doctors in Hampden, ME

Erin Marie Chandler, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 603 Main Rd N, Hampden, ME 04444 Phone: 207-945-5400 Fax: 866-463-6751
Sarah Jean Crane, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Main Rd N, Hampden, ME 04444 Phone: 207-862-9400 Fax: 207-862-9411
Daniel Cole Gott, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7 Main Rd N, Hampden, ME 04444 Phone: 207-862-9400 Fax: 207-862-9411
John L Patten, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21 Western Ave, Hampden, ME 04444 Phone: 207-862-0300 Fax: 207-907-1041
Dr. Leigh J Forbush, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 603 Main Rd N, Hampden, ME 04444 Phone: 207-945-5400 Fax: 866-463-6751
Kristopher L O'connell, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Main Rd N, Hampden, ME 04444 Phone: 207-862-9400 Fax: 207-862-9411

Mamatha Sirivol, MD - Medicare Family Practice in Hampden, ME