Karen R Proctor, PT - Medicare Physical Therapist in Portland, ME

Karen R Proctor, PT is a medicare enrolled "Physical Therapist" provider in Portland, Maine. She graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Edgewater Orthopedic Physical Therapy, Llc and her current practice location is 43 Baxter Blvd, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 874-7992.

Karen R Proctor is licensed to practice in Maine (license number PT871) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1053386854.

Contact Information

Karen R Proctor, PT
43 Baxter Blvd,
Portland, ME 04101-1823
(207) 874-7992
(207) 774-9156

Map and Direction




Healthcare Provider's Profile

Full NameKaren R Proctor
GenderFemale
SpecialityPhysical Therapy
Experience35 Years
Location43 Baxter Blvd, Portland, Maine
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Karen R Proctor graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1053386854
  • Provider Enumeration Date: 02/23/2006
  • Last Update Date: 12/06/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5092986422
  • Enrollment ID: I20110915000485

Medical Identifiers

Medical identifiers for Karen R Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053386854NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT871 (Maine)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Edgewater Orthopedic Physical Therapy, Llc29615999075

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. Karen R Proctor allows following entities to bill medicare on her behalf.
Provider NameEdgewater Orthopedic Physical Therapy, Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1053518332
PECOS PAC ID: 2961599907
Enrollment ID: O20071107000535
Provider NameH2o Fitness Collaborative Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1003401803
PECOS PAC ID: 5890194500
Enrollment ID: O20211015001141

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. Karen R Proctor 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
Karen R Proctor, PT
68 Ledgewood Dr,
Falmouth, ME 04105-1812

Ph: (207) 872-0138
Karen R Proctor, PT
43 Baxter Blvd,
Portland, ME 04101-1823

Ph: (207) 874-7992

Reviews and Comments


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Gianna Gabrielle Pezzano,
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Medicare: Not Enrolled in Medicare
Practice Location: 331 Veranda St Ste 401, Portland, ME 04103
Phone: 207-536-0702    Fax: 207-536-0785

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.