Richard James Dubocq, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

012257 Issued in ME

Practice address

209 Unity Rd
Albion, ME 04910-6201

Phone

(207) 861-3000

Fax

(207) 437-5501

NPI assigned

Oct 7, 2005

Last updated

Feb 13, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1730177361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 S COBBTOWN RD",
            "city": "LINCOLNVILLE",
            "state": "ME",
            "postal_code": "048495132",
            "telephone_number": "207-861-3000",
            "fax_number": "207-437-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 UNITY RD",
            "city": "ALBION",
            "state": "ME",
            "postal_code": "049106201",
            "telephone_number": "207-861-3000",
            "fax_number": "207-437-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOCQ",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "012257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "001020",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1041991",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121490000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "010019451",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Ellen Coffey, LCSW
• Brenda R Comolli, LCSW
• Deborah L Daigle, LCSW
• Diana C Dearden, PA-C
• Haley Diehl, PA-C
• Jessica Dyer, PT
• Elevated Physical Therapy & Wellness
• Paul A Forman, MD
• Allen Scott Goldey, D.D.S.
• Elizabeth A Grant, RN, BSN

• Family Medicine Physician in Albion, ME
• Providers in Albion, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.