Gina Difederico
Individual provider Active NPI Physician Assistant · Biddeford, ME
NPI 1619820180 · NPPES record last updated Aug 14, 2026
Key facts
- NPI
- 1619820180
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA3111 (ME)
- Practice address
- 1 Medical Center Dr
Biddeford, ME 04005-9422 - Phone
- (207) 294-5000
- NPI assigned
- Feb 16, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA3111 | ME | Yes |
Addresses
Primary practice location
1 Medical Center Dr
Biddeford, ME 04005-9422
Mailing address
1 Medical Center Dr
Biddeford, ME 04005-9422
Other providers in Biddeford, ME
- Lauren Desmond
- Kathryn P Desrosiers
- Danae M Deveau
- Stephanie Elizabeth Devine
- Samantha Jane Dial
- Sarah Dion
- Aaron T Dionne
- Suzanne B Dionne
- Greta Dipierro
- Dirigo Hearing Center, LLC
All providers in Biddeford, ME · Physician Assistant in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.