Miss Annelise Maria Depaulo, PT, DPT in South Portland, ME - Medicare Physical Therapist Provider

Miss Annelise Maria Depaulo, PT, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in South Portland, Maine. Her current practice location is 45 Western Ave, South Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 772-2625.

Miss Annelise Maria Depaulo is licensed to practice in Maine (license number PT6309) 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 1194443572.

Contact Information

	Miss Annelise Maria Depaulo, PT, DPT
	45 Western Ave, South Portland, ME 04106-2411
	(207) 772-2625
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Annelise Maria Depaulo
Gender	Female
Speciality	Physical Therapist - Orthopedic
Location	45 Western Ave, 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: 1194443572
Provider Enumeration Date: 08/22/2022
Last Update Date: 08/22/2022

Medicare PECOS Information:

PECOS PAC ID: 4880070275
Enrollment ID: I20250507001540

Medical Identifiers

Medical identifiers for Miss Annelise Maria Depaulo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194443572	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	PT6309 (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. Miss Annelise Maria Depaulo allows following entities to bill medicare on her behalf.

Provider Name	Lehigh Valley Hospital
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1356769616 PECOS PAC ID: 2961310446 Enrollment ID: O20140520001991

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. Miss Annelise Maria Depaulo 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
Miss Annelise Maria Depaulo, PT, DPT 40 Brackett St, Portland, ME 04102-3970 Ph: (484) 903-7733	Miss Annelise Maria Depaulo, PT, DPT 45 Western Ave, South Portland, ME 04106-2411 Ph: (207) 772-2625

Reviews and Comments

Physical Therapist in South Portland, ME

Kimberly B. Viola, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Foden Rd, West, Ste 205, South Portland, ME 04106 Phone: 207-780-8860
Lorna Kerbel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 260 Western Ave, South Portland, ME 04106 Phone: 207-879-7510
Ms. Anna Elizabeth Chornyak, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 260 Western Ave, South Portland, ME 04106 Phone: 207-879-7510
Carley Sims Eldredge, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 119 Gannett Dr, South Portland, ME 04106 Phone: 207-773-0040
Elizabeth J Maher, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 161 Ocean St, South Portland, ME 04106 Phone: 207-799-8226 Fax: 207-799-9340
Andrew Johnson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 50 Foden Rd, South Portland, ME 04106 Phone: 207-780-8860 Fax: 207-780-8857
Dr. Nathan P Brewster, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 50 Foden Rd, South Portland, ME 04106 Phone: 207-780-8860

Miss Annelise Maria Depaulo, PT, DPT - Medicare Physical Therapist in South Portland, ME