Justine Marie Achille, MD
Individual provider Active NPI Family Medicine Physician · Gorham, ME
NPI 1962962324 · NPPES record last updated Sep 28, 2022
Key facts
- NPI
- 1962962324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD26128 (ME)
- Practice address
- 575 Main St
Gorham, ME 04038-2623 - Phone
- (207) 839-2559
- NPI assigned
- Mar 21, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 39
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Georgetown University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Martin'S Point Health Care, Inc.
Practice addresses (Care Compare)
575 Main St
Gorham, ME 04038-2623
Phone (207) 839-2559
Hospital & facility affiliations
- Andwell Health Partners
- Mainehealth Maine Medical Center
- Northern Light Mercy Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220816002413 | ME | Practitioner - Family Practice | 6901135789 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin'S Point Health Care, Inc. | Family Medicine | Current |
Accepting new patients |
| Spectrum Healthcare Partners, P.a. | Past |
Accepting new patients |
Locations
575 Main St
Gorham, ME 04038
Phone (207) 839-2559
575 Main St
Ste 101
Gorham, ME 04038
331 Veranda St
Portland, ME 04103
Phone (207) 774-5801
Interoperability endpoints
- justine.achille.1@5857.direct.athenahealth.com
- https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4
- justin.achille.1@5857.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | MD26128 | ME | Yes |
Addresses
Primary practice location
575 Main St
Gorham, ME 04038-2623
Mailing address
PO Box 9746
Portland, ME 04104-5040
Phone (207) 828-2449
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | justin.achille.1@5857.direct.athenahealth.com |
Other providers in Gorham, ME
- A Lovely Smile, LLC
- A Perfect Care, LLC
- Nicola Anthony Albanese
- Alliance Home Care, LLC
- Andrea M. Taliento, DMD, P.a.
- Brandon Alan Archibald
- Andrew Michel Athanathious
All providers in Gorham, ME · Family Medicine Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.