NPIMap

Individual provider Active NPI

Meghann L. Derosier, DO

  • Family Medicine Physician
  • Bangor, ME
National Provider Identifier
1861697583
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2123 Issued in ME
Practice address
44 Hogan Rd
Bangor, ME 04401-5602
Phone
(207) 942-2333
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X DO2123 ME
Family Medicine Physician 207Q00000X DO2123 ME Primary

Addresses

Primary practice location

44 Hogan Rd
Bangor, ME 04401-5602

Mailing address

69 Main St Ste 4
Orono, ME 04473-4087
Phone (207) 962-1200

Other practice location 1

74 Parkway S
Brewer, ME 04412-1628
Phone (207) 989-7300

Other practice location 2

516 Mount Hope Ave
Bangor, ME 04401-4215
Phone (207) 947-6131

Other practice location 3

750 Union St
Bangor, ME 04401-3125
Phone (207) 942-7336

Other identifiers 4

IdentifierTypeStateIssuer
1679988737MedicaidME
1629074075MedicaidME
1861697583MedicaidME
1558330506MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140123000116 ME Practitioner - Family PracticePractitioner - Hospice/Palliative CarePractitioner - Hospitalist 0840428710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
University of New England, College of Osteo Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maine Medical Consultants PC 46 clinicians

Practice addresses (Care Compare)

335 Brighton Ave
Portland, ME 04102-2363
Phone (207) 518-8869

Hospital & facility affiliations

  • Gentiva Hospice, Brewer, ME, CCN 201523
  • Bristol Hospice - Bangor LLC Hospice, Bangor, ME, CCN 201526
  • Northern Light Home Care & Hospice Hospice, South Portland, ME, CCN 201502
  • Penobscot Valley Hospital Hospital, Lincoln, ME, CCN 201303
  • Maine Veterans Home - Bangor Nursing home, Bangor, ME, CCN 205185
  • Westgate Center for Rehab & Alzheimers Care Nursing home, Bangor, ME, CCN 205105

Merit-based Incentive Payment System (MIPS)

Final score
23.12 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2123MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Consultants PC CurrentSince Jul 1, 2024 Accepting new patients
Cummings Health Care Facility, Inc. Past Accepting new patients
VK Brewer, LLC Past Accepting new patients
VK Bangor, LLC Past Accepting new patients
Iam-3Rivers Past Accepting new patients
Woodlawn Nursing Home Inc Past Accepting new patients
Maine Veterans' Home Past Accepting new patients
Maine Veterans' Homes Past Accepting new patients
Ross Manor Associates Past Accepting new patients
Westgate Center for Health and Rehabilitation LLC Past Accepting new patients

Locations

750 Union St
Bangor, ME 04401
Phone (207) 942-7336

516 Mount Hope Ave
Bangor, ME 04401
Phone (207) 947-6131

44 Hogan Rd
Bangor, ME 04401
Phone (207) 299-1505

750 Union St
Ste 2
Bangor, ME 04401

74 Parkway S
Brewer, ME 04412
Phone (207) 989-7300

367 US Route 1
Ste 3S
Falmouth, ME 04105
Phone (207) 939-6789

91 Auburn St
Ste J1096
Portland, ME 04103
Phone (207) 939-6789

335 Brighton Ave
Portland, ME 04102
Phone (207) 662-8000

59 W Front St
Skowhegan, ME 04976
Phone (207) 474-9300

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Maine Veterans' HomeBangor, ME, CCN 205185 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2021
Mar 31, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1861697583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 MAIN ST STE 4",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044734087",
            "telephone_number": "207-962-1200",
            "fax_number": "407-602-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HOGAN RD",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015602",
            "telephone_number": "207-942-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74 Parkway S",
            "address_purpose": "LOCATION",
            "city": "Brewer",
            "state": "ME",
            "postal_code": "044121628",
            "country_code": "US",
            "telephone_number": "207-989-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "516 Mount Hope Ave",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044014215",
            "country_code": "US",
            "telephone_number": "207-947-6131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Union St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013125",
            "country_code": "US",
            "telephone_number": "207-942-7336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEROSIER",
        "first_name": "MEGHANN",
        "middle_name": "L.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2021-10-15",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "DO2123",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "DO2123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679988737",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629074075",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861697583",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558330506",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.