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Dr. Amanda J Gagnon , DO

Pediatrics β€’ Lewiston, ME

Active NPI 1316574635 Individual Practitioner Female Practitioner
Practice location in NPPES

300 Main St
Lewiston, ME 042407027

Call 2076620111 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

300 Main St

Lewiston, ME 042407027

Telephone 2076620111
Organization at the Same NPPES Address or Phone
Great Falls Pathology, P.a. Facility NPI 1427034461

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Portland, ME. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Gagnon has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Gagnon as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lewiston and Maine

24 active clinicians are listed under Pediatrics with a practice address in Lewiston, ME (311 in Maine).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lewiston

0% of these 24 clinicians have the CMS telehealth indicator.

0% of these 24 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-25
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES ME DO3559

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Hospitalist

NUCC Taxonomy Code: 208M00000X

License # reported to NPPES ME DO3559

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maine State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20230911002032

Enrollment State Jurisdiction

ME

PECOS Control ID

7416371521

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

22 Bramhall St

Portland, ME 041023134

Phone: 2076620111

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

18 listed
Danilo Anez

Nurse Anesthetist, Certified Registered

NPI 1053077701
NPI 1063893022

Doctor of Medicine (M.D.)

Dr. Noah Blythe , MD

Student in an Organized Health Care Education/Training Program

NPI 1023878600

Doctor of Medicine (M.D.)

NPI 1023514650

Doctor of Medicine (M.D.)

Dr. Andrew Eksi , MD

Student in an Organized Health Care Education/Training Program

NPI 1023877487

Doctor of Medicine (M.D.)

Dr. Kiirsten Finn , DMD

Student in an Organized Health Care Education/Training Program

NPI 1043624943

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 28, 2023

Registered at 300 MAIN ST, LEWISTON, ME 042407027 (Tel: 2076620111)

πŸ“
Updated Business Mailing Address August 28, 2023

Registered at 300 MAIN ST, LEWISTON, ME 042407027

πŸ‘€
Provider Name / Credentials Updated August 28, 2023

Recorded as AMANDA GAGNON, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2023

Hospitalist (license number reported to NPPES: ME DO3559)

βœ…
NPI Profile Active March 25, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 25, 2020

Registered at 22 BRAMHALL ST, PORTLAND, ME 041023134 (Tel: 2076620111)

πŸ“
Business Mailing Address (Initial Record) March 25, 2020

Registered at 22 BRAMHALL ST, PORTLAND, ME 041023134

πŸ‘€
Provider Name / Credentials (Initial Record) March 25, 2020

Recorded as AMANDA GAGNON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 25, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1316574635
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2020
Last Update: August 28, 2023
Sole Proprietor: No

Other Pediatrics Specialists in Lewiston

Healthcare providers in Lewiston

Mailing Address

300 Main St

Lewiston, ME 042407027

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.