Ms Katharine J Disalvatore Fortin, MA in Bangor, ME - Medicare Speech-Language Pathologist Provider

Ms Katharine J Disalvatore Fortin, MA is a medicare enrolled "Speech-language Pathologist" provider in Bangor, Maine. Her current practice location is 700 Mount Hope Ave Ste 320, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 941-2952.

Ms Katharine J Disalvatore Fortin is licensed to practice in Maine (license number SP1742) 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 1992877765.

Contact Information

	Ms Katharine J Disalvatore Fortin, MA
	700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680
	(207) 941-2952
	(207) 941-2955

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Katharine J Disalvatore Fortin
Gender	Female
Speciality	Speech-language Pathologist
Location	700 Mount Hope Ave Ste 320, Bangor, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992877765
Provider Enumeration Date: 11/15/2006
Last Update Date: 01/11/2017

Medicare PECOS Information:

PECOS PAC ID: 6709902828
Enrollment ID: I20100927000852

Medical Identifiers

Medical identifiers for Ms Katharine J Disalvatore Fortin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992877765	NPI	-	NPPES
251820099	Medicaid	ME

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SP1742 (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. Ms Katharine J Disalvatore Fortin allows following entities to bill medicare on her behalf.

Provider Name	United Cerebral Palsy Of Northeastern Maine
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265634893 PECOS PAC ID: 6507018058 Enrollment ID: O20121206000540

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. Ms Katharine J Disalvatore Fortin 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
Ms Katharine J Disalvatore Fortin, MA 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 Ph: (207) 941-2952	Ms Katharine J Disalvatore Fortin, MA 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 Ph: (207) 941-2952

Reviews and Comments

Speech-Language Pathologist in Bangor, ME

Panorama Speech Therapy, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10 Graham Ave N, Bangor, ME 04401 Phone: 207-808-2205
Stillwater Health Care Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 335 Stillwater Ave, Bangor, ME 04401 Phone: 207-947-1111
Mary Beaster, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 700 Mount Hope Ave, Suite 320, Bangor, ME 04401 Phone: 207-941-2952
Ms. Joan J Ellis, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 88 Hammond St, Suite 202, Bangor, ME 04401 Phone: 207-461-0707
Ms. Jennifer Perkins, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 73 Harlow St, Bangor, ME 04401 Phone: 207-992-4156
Karlee Throckmorton, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 727 Broadway, Bangor, ME 04401 Phone: 207-573-3160
Michelle Gillen, MA CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 750 Union St, Bangor, ME 04401 Phone: 207-991-4336

Ms Katharine J Disalvatore Fortin, MA - Medicare Speech-Language Pathologist in Bangor, ME