Tara Kay Pelletier, DO - Medicare Family Medicine in South Portland, ME

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Tara Kay Pelletier, DO is a medicare enrolled "Family Medicine" physician in South Portland, Maine. Her current practice location is 100 Foden Road East, Suite 201, South Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 874-1489.

Tara Kay Pelletier is licensed to practice in Maine (license number 1957) 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 1124016118.

Contact Information

Tara Kay Pelletier, DO
100 Foden Road East, Suite 201,
South Portland, ME 04106
(207) 874-1489
(207) 523-8590

Map and Direction




Physician's Profile

Full NameTara Kay Pelletier
GenderFemale
SpecialityFamily Medicine
Location100 Foden Road East, South Portland, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124016118
  • Provider Enumeration Date: 10/12/2005
  • Last Update Date: 02/22/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2264469089
  • Enrollment ID: I20061109000149

Medical Identifiers

Medical identifiers for Tara Kay Pelletier such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124016118NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 224963 (Massachusetts)Secondary
207Q00000XFamily Medicine 1957 (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. Tara Kay Pelletier allows following entities to bill medicare on her behalf.
Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639194509
PECOS PAC ID: 7517860588
Enrollment ID: O20040206000472

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. Tara Kay Pelletier 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
Tara Kay Pelletier, DO
100 Foden Road West, Suite 203,
South Portland, ME 04106

Ph: (207) 828-0361		Tara Kay Pelletier, DO
100 Foden Road East, Suite 201,
South Portland, ME 04106

Ph: (207) 874-1489

Reviews and Comments


Family Medicine Doctors in South Portland, ME

Alexandra Roberts, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Foden Rd Ste 203, South Portland, ME 04106
Phone: 207-879-1489    
Dr. Joseph Py, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 400 Western Ave, South Portland, ME 04106
Phone: 207-774-7111    
Anastasia R Norman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 96 Ocean St Ste 4, South Portland, ME 04106
Phone: 207-303-8800    
Bradford S. Wagner, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 50 Foden Rd Ste 3, South Portland, ME 04106
Phone: 207-874-1489    Fax: 207-523-8590
Dr. John Edward Kazilionis, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 778 Main St, Suite 1, South Portland, ME 04106
Phone: 207-775-7758    Fax: 207-879-7758
Elizabeth R Bobzien, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Foden Rd, East, Suite 203, South Portland, ME 04106
Phone: 207-874-1489    Fax: 207-523-8590

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.