Individual provider Active NPI

Ira Lewis Scott, M.D.

  • Psychiatry Physician
  • Bangor, ME
National Provider Identifier
1700998390
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
217338 Issued in NY
Practice address
268 Stillwater Ave
Bangor, ME 04401
Phone
(207) 973-6100
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 217338 NY Primary

Addresses

Primary practice location

268 Stillwater Ave
Bangor, ME 04401

Mailing address

268 Stillwater Ave
Bangor, ME 04401-3980
Phone (207) 973-6100

Other practice location 1

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6100

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140307000038 ME Practitioner - Psychiatry 7315177631 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of MaineGroup PAC ID 7517875131, 19 clinicians

Practice addresses (Care Compare)

656 State St
Bangor, ME 04401-5609
Phone (207) 941-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217338NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Maine CurrentSince Jan 17, 2022 Accepting new patients
State of Maine CurrentSince Jan 17, 2022 Accepting new patients
Acadia Hospital Corp CurrentSince Jan 20, 2014 Accepting new patients
Eastern Maine Medical Center CurrentSince Nov 19, 2014 Accepting new patients
Eastern Maine Medical Center CurrentSince Nov 19, 2014 Accepting new patients
State of Maine Current Accepting new patients
Acadia Healthcare, Inc Past Accepting new patients

Locations

109 Capitol St
#11
Augusta, ME 04330

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

489 State St
Bangor, ME 04401
Phone (207) 973-8837

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

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1700998390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013980",
            "telephone_number": "207-973-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-973-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "268 Stillwater Ave",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "04401",
            "country_code": "US",
            "telephone_number": "207-973-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "IRA",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "217338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.