Douglas Rhoda, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-713 Issued in ME

Practice address

200 Somerset St
Millinocket, ME 04462-1258

Phone

(207) 723-5161

Fax

(207) 723-3028

NPI assigned

Aug 12, 2006

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

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

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Penobscot Valley Dermatology PAGroup PAC ID 7315092541, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph Hospital Hospital, Bangor, ME, CCN 200001

Merit-based Incentive Payment System (MIPS)

Final score

90.22 of 100Reported as group

Quality

85.35

Improvement activities

40

Cost

86.93

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: douglive@penobscot.emadirect.md

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.

• Penobscot Valley Dermatology, P.a.

  • Specialist
  • Bangor, ME
  • NPI 1952536880
  Medicare reassignment Care Compare group

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

• St. Joseph Hospital

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1154321545
  Care Compare affiliation

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760494603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 NORTH ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261141",
            "telephone_number": "207-564-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOMERSET ST",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044621258",
            "telephone_number": "207-723-5161",
            "fax_number": "207-723-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODA",
        "first_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA-713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnna Pelletier
• Kati M Pelletier, RN
• Abigail M Perkins, LMT
• Jayne L Potvin, LMT
• Brianna I Rainey
• April A Rideout, DENTAL ASSISTANT
• Libbi A Rideout
• Bruce Alvin Rioux, CRNA
• Kenneth R Ritchie
• Rite Aid of Maine Inc

• Physician Assistant in Millinocket, ME
• Providers in Millinocket, ME by specialty
• Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.