Toby M Fitzgerald, DO - Medicare Obstetrics/gynecology in Portland, ME

Toby M Fitzgerald, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Portland, Maine. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Maine Medical Partners, Mainehealth and her current practice location is 887 Congress St Ste 200, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 771-5549.

Toby M Fitzgerald is licensed to practice in Maine (license number 02153) 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 1043389745.

Contact Information

Toby M Fitzgerald, DO
887 Congress St Ste 200,
Portland, ME 04102-3166
(207) 771-5549
(207) 771-7834

Map and Direction




Physician's Profile

Full NameToby M Fitzgerald
GenderFemale
SpecialityObstetrics/gynecology
Experience18 Years
Location887 Congress St Ste 200, Portland, Maine
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Toby M Fitzgerald graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1043389745
  • Provider Enumeration Date: 11/07/2006
  • Last Update Date: 05/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2062604267
  • Enrollment ID: I20101006000748

Medical Identifiers

Medical identifiers for Toby M Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043389745NPI-NPPES
1043389745MedicaidME
AA182841OtherHARVARD
9979562OtherAETNA
2103148OtherCIGNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 02153 (Maine)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Maine Medical CenterPortland, MEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Maine Medical Partners9335043967789
Mainehealth75178605882067

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. Toby M Fitzgerald allows following entities to bill medicare on her behalf.
Entity NameMaine Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467477349
PECOS PAC ID: 9335043967
Enrollment ID: O20031125000026
Entity NameMercy Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629078712
PECOS PAC ID: 6103737812
Enrollment ID: O20040217000943
Entity NameMaine Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104921535
PECOS PAC ID: 9335043967
Enrollment ID: O20040331000274
Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166

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. Toby M Fitzgerald 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
Toby M Fitzgerald, DO
887 Congress St Ste 200,
Portland, ME 04102-3166

Ph: (207) 771-5549
Toby M Fitzgerald, DO
887 Congress St Ste 200,
Portland, ME 04102-3166

Ph: (207) 771-5549

Reviews and Comments


Obstetrics & Gynecology Doctors in Portland, ME

Carol M Vaughan, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 84 Marginal Way, Suite 900, Portland, ME 04101
Phone: 207-874-2445    Fax: 207-523-8598
Dr. Edward Bumno Yoon, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 895 Washington Ave, Portland, ME 04103
Phone: 207-791-3888    
Dr. Kathryn G Wadland, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 195 Fore River Pkwy, Suite 440, Portland, ME 04102
Phone: 207-553-6920    Fax: 207-553-6940
Anne Marie Van Hengel, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 84 Marginal Way, Suite 900, Portland, ME 04101
Phone: 207-874-2445    Fax: 207-523-8598
Dr. Debra K Sepulveda, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 22 Bramhall St, Portland, ME 04102
Phone: 207-662-0111    Fax: 207-662-6219
Mary Anne Carroll, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: Maine Medical Center, 22 Bramhall Street, Portland, ME 04102
Phone: 207-662-0111    

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).

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