NPIMap

Individual provider Active NPI

Marek Skacel, MD

  • Specialist
  • Bangor, ME
National Provider Identifier
1396701322
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
017240 Issued in ME
Practice address
417 State St Ste 439
Bangor, ME 04401-6635
Phone
(216) 986-1314
Fax
(216) 986-1191
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 017240 ME Primary

Addresses

Primary practice location

417 State St Ste 439
Bangor, ME 04401-6635

Mailing address

417 State St Ste 439
Bangor, ME 04401-6635
Phone (216) 986-1314

Other identifiers 1

IdentifierTypeStateIssuer
2443761MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070122000137 ME Practitioner - Pathology 4284525296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dahl Chase Pathology Associates PAGroup PAC ID 8820995947, 15 clinicians

Practice addresses (Care Compare)

417 State St
Bangor, ME 04401-6630
Phone 20794182708270

Hospital & facility affiliations

  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
  • St Joseph Hospital Hospital, Bangor, ME, CCN 200001
  • Northern Light Mercy Hospital Hospital, Portland, ME, CCN 200008
  • Northern Light Maine Coast Hospital Hospital, Ellsworth, ME, CCN 200050
  • Down East Community Hospital Hospital, Machias, ME, CCN 201311

Merit-based Incentive Payment System (MIPS)

Final score
94.83 of 100Reported as group
Quality
82.8
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
017240MEMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dahl Chase Pathology Associates, PA CurrentSince Dec 1, 2006 Accepting new patients
Dahl Chase Pathology Associates, PA Specialist Current Accepting new patients

Locations

417 State St
Ste 439
Bangor, ME 04401
Phone (207) 941-8270

Organizations & group practices 2

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

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396701322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 STATE ST STE 439",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016635",
            "telephone_number": "216-986-1314",
            "fax_number": "216-986-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 STATE ST STE 439",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016635",
            "telephone_number": "216-986-1314",
            "fax_number": "216-986-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKACEL",
        "first_name": "MAREK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "017240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2443761",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.