Theresa Roelke, NP in South Portland, ME - Medicare Nurse Practitioner

Theresa Roelke, NP is a medicare enrolled "Nurse Practitioner" in South Portland, Maine. Her current practice location is 100 Foden Rd Ste 103, South Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 828-1122.

Theresa Roelke is licensed to practice in Maine (license number CNP161163) 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 1720525447.

Contact Information

	Theresa Roelke, NP
	100 Foden Rd Ste 103, South Portland, ME 04106-2327
	(207) 828-1122
	(207) 828-1122

Map and Direction

Provider's Profile

Full Name	Theresa Roelke
Gender	Female
Speciality	Nurse Practitioner
Location	100 Foden Rd Ste 103, South Portland, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720525447
Provider Enumeration Date: 01/20/2017
Last Update Date: 03/24/2026

Medicare PECOS Information:

PECOS PAC ID: 0749563682
Enrollment ID: I20170220000979

Medical Identifiers

Medical identifiers for Theresa Roelke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720525447	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	CNP161163 (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. Theresa Roelke allows following entities to bill medicare on her behalf.

Entity Name	Maine Medical Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467477349 PECOS PAC ID: 9335043967 Enrollment ID: O20031125000026

Entity Name	Mainehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Theresa Roelke 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
Theresa Roelke, NP 100 Foden Rd Ste 6b, South Portland, ME 04106-2327 Ph: (207) 828-1122	Theresa Roelke, NP 100 Foden Rd Ste 103, South Portland, ME 04106-2327 Ph: (207) 828-1122

Reviews and Comments

Nurse Practitioner Nurses in South Portland, ME

Mr. Michael Urban Trueworthy, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 650 Main St, Ste 213, South Portland, ME 04106 Phone: 207-835-6098 Fax: 207-835-6097
Mary P Delois, RN,MSN,F.N.P.-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 260 Western Ave, South Portland, ME 04106 Phone: 207-761-4700 Fax: 207-761-4744
Pamela G. Argereow, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Foden Road, West, Suite 100, South Portland, ME 04106 Phone: 207-523-3904 Fax: 207-523-8588
Megan Bickford, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 265 Western Ave, South Portland, ME 04106 Phone: 207-661-0200
Ms. Melissa Nye Libby, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Brickhill Ave, Ste 304, South Portland, ME 04106 Phone: 207-761-4700 Fax: 207-467-8910
Mr. Duncan T Hopkins Jr., MS, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 209 Western Ave, Suite B2, South Portland, ME 04106 Phone: 207-553-9071 Fax: 207-553-9074
Noelle Christine Cooper, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 265 Western Ave, South Portland, ME 04106 Phone: 207-661-0200

Theresa Roelke, NP - Medicare Nurse Practitioner in South Portland, ME