Todd D O'brien, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Old Town, Maine. His current practice location is
242 Brunswick St, Old Town, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 827-6128.
Todd D O'brien is licensed to practice in Maine (license number POD1016) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366401291.
Healthcare Provider's Profile
| Full Name | Todd D O'brien |
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| Gender | Male |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 242 Brunswick St, Old Town, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1366401291
- Provider Enumeration Date: 03/20/2006
- Last Update Date: 05/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 6800830555
- Enrollment ID: I20050614001018
Medical Identifiers
Medical identifiers for Todd D O'brien such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366401291 | NPI | - | NPPES |
| 030284 | Other | ME | ANTHEM |
| 480034965 | Other | ME | MEDICARE PTAN |
| 154750099 | Medicaid | ME | |
| 201839 | Other | ME | NGS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD1016 (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. Todd D O'brien allows following entities to bill medicare on his behalf.
| Provider Name | Penobscot Valley Hospital |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1093716086
PECOS PAC ID: 8426942889
Enrollment ID: O20040209000635 |
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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. Todd D O'brien 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 |
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Todd D O'brien, DPM
Po Box 1599,
Bangor, ME 04402-1599
Ph: (207) 404-8200 | Todd D O'brien, DPM
242 Brunswick St,
Old Town, ME 04468-1613
Ph: (207) 827-6128 |
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