Individual provider Active NPI

Oscar Falconer, PA

  • Physician Assistant
  • Vinalhaven, ME
National Provider Identifier
1700085776
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA001089 Issued in ME
Practice address
15 Medical Center Loop
Vinalhaven, ME 04863-4119
Phone
(207) 863-4341
Fax
(207) 863-2737
NPI assigned
Jul 11, 2007
Last updated
Apr 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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 PA001089 ME Primary

Addresses

Primary practice location

15 Medical Center Loop
Vinalhaven, ME 04863-4119

Mailing address

15 Medical Center Loop
Vinalhaven, ME 04863-4119
Phone (207) 863-4341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080315000043 ME Practitioner - Physician Assistant 0345325346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of New England, College of Osteo Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

107 1St Park Dr
Oakland, ME 04963-5367
Phone (207) 453-3000

149 N St
Waterville, ME 04901
Phone (207) 872-1000

15 Enterprise Dr
Mainegeneral Express Care
Augusta, ME 04330-7997
Phone (207) 621-8880

35 Medical Ctr Pkwy
Augusta, ME 04330-8160
Phone (207) 621-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA001089MEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
State of Maine CurrentSince Mar 22, 2015 Accepting new patients
Mainegeneral Medical Center Physician Assistant CurrentSince Dec 3, 2013 Accepting new patients
State of Maine CurrentSince Mar 22, 2015 Accepting new patients
Mainegeneral Medical Center CurrentSince Dec 3, 2013 Accepting new patients
Mainegeneral Medical Center Past Accepting new patients

Locations

109 Capitol St
#11
Augusta, ME 04330

15 E Chestnut St
Augusta, ME 04330
Phone (207) 626-1561

15 Enterprise Dr
Augusta, ME 04330
Phone (207) 621-7500

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

656 State St
Bangor, ME 04401
Phone (207) 941-4000

107 First Park Dr
Oakland, ME 04963
Phone (207) 621-8700

10 Water St
Ste 202
Waterville, ME 04901
Phone (207) 873-9846

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1700085776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MEDICAL CENTER LOOP",
            "city": "VINALHAVEN",
            "state": "ME",
            "postal_code": "048634119",
            "telephone_number": "207-863-4341",
            "fax_number": "207-863-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MEDICAL CENTER LOOP",
            "city": "VINALHAVEN",
            "state": "ME",
            "postal_code": "048634119",
            "telephone_number": "207-863-4341",
            "fax_number": "207-863-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCONER",
        "first_name": "OSCAR",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA001089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinalhaven, ME

Sources for this page

Verify at the official NPI Registry.