Black Dog Medical Pa - Medicare Primary Care in Lamoine, ME

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Black Dog Medical Pa is a medicare enrolled primary clinic (Internal Medicine) in Lamoine, Maine. The current practice location for Black Dog Medical Pa is 11 Madison Avenue, Lamoine, Maine. For appointments, you can reach them via phone at (207) 200-1464. The mailing address for Black Dog Medical Pa is 11 Madison Avenue, Lamoine, Maine and phone number is (207) 200-1464.

Black Dog Medical Pa is licensed to practice in Maine (license number MD14569). The clinic also participates in the medicare program and its NPI number is 1154784668. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (207) 200-1464.

Contact Information

Black Dog Medical Pa
11 Madison Avenue
Lamoine
ME 04605
(207) 200-1464
(207) 805-8421

Map and Direction


Primary Care Clinic Profile

Full NameBlack Dog Medical Pa
SpecialityInternal Medicine
Location11 Madison Avenue, Lamoine, Maine
Authorized Official Name and PositionPatricia Wyshak (OWNER)
Authorized Official Contact2072001464
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Black Dog Medical Pa
11 Madison Avenue
Lamoine
ME 04605

Ph: (207) 200-1464		Black Dog Medical Pa
11 Madison Avenue
Lamoine
ME 04605

Ph: (207) 200-1464

NPI Details:

NPI Number1154784668
Provider Enumeration Date04/01/2016
Last Update Date04/01/2016

Medicare PECOS Information:

Medicare PECOS PAC ID8729378757
Medicare Enrollment IDO20160603001346

Medical Identifiers

Medical identifiers for Black Dog Medical Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154784668NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD14569 (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. Black Dog Medical Pa acts as a billing entity for following providers:
Provider NamePatricia L Wyshak
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043254758
PECOS PAC ID: 4789628496
Enrollment ID: I20050614000681
Provider NameKathleen K Mccall
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013995372
PECOS PAC ID: 0547226920
Enrollment ID: I20061222000228

Reviews and Comments


Internal Medicine in Lamoine, ME


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.