NPIMap

Individual provider Active NPI

Samantha Marie-Dubay Bickford, PA-C

  • Physician Assistant
  • Windham, ME
National Provider Identifier
1225636947
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2522 Issued in ME
Practice address
582 Roosevelt TRL
Windham, ME 04062-4904
Phone
(207) 892-3233
NPI assigned
Oct 14, 2020
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2522 ME Primary

Addresses

Primary practice location

582 Roosevelt TRL
Windham, ME 04062-4904

Mailing address

582 Roosevelt TRL
Windham, ME 04062-4904
Phone (207) 892-3233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, ME2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201209002852 NC Practitioner - Physician Assistant 9638581002 Reassigns benefits to 1 organization
I20230922000177 ME Practitioner - Physician Assistant 9638581002 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

582 Roosevelt TRL
Windham, ME 04062-4904
Phone (207) 892-3233

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Sep 11, 2023 Accepting new patients
Maine Medical Partners Medical CurrentSince Sep 11, 2023 Accepting new patients
Maine Medical Partners CurrentSince Sep 11, 2023 Accepting new patients
Mainehealth CurrentSince Sep 11, 2023 Accepting new patients
Maine Medical Partners CurrentSince Sep 11, 2023 Accepting new patients
Bluewater Surgical, PLLC PastSince Nov 21, 2021 Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

1 Harnois Ave
Ste 2
Westbrook, ME 04092
Phone (207) 661-3400

582 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3233

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: sbickford598702@direct.mmc.mainehealth.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 37

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 37

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1225636947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 ROOSEVELT TRL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624904",
            "telephone_number": "207-892-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 ROOSEVELT TRL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624904",
            "telephone_number": "207-892-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKFORD",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE-DUBAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, ME

Sources for this page

Verify at the official NPI Registry.