Individual provider Active NPI

Carol Trask, M.D.

  • Specialist
  • Bangor, ME
National Provider Identifier
1982624326
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
014908 Issued in ME
Practice address
417 State St Ste 439
Bangor, ME 04401-6635
Phone
(207) 561-2400
Fax
(207) 990-4848
NPI assigned
Jul 20, 2006
Last updated
Mar 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 014908 ME Primary

Addresses

Primary practice location

417 State St Ste 439
Bangor, ME 04401-6635

Mailing address

417 State St Ste 439
Bangor, ME 04401-6635
Phone (207) 561-2400

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
I20050719000589 ME Practitioner - Pathology 0941237275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Massachusetts Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dahl Chase Pathology Associates PAGroup PAC ID 8820995947, 15 clinicians

Practice addresses (Care Compare)

417 State St
Bangor, ME 04401-6630
Phone 20794182708270

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.83 of 100Reported as group
Quality
82.8
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014908MEMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dahl Chase Pathology Associates, PA CurrentSince Jan 1, 1999 Accepting new patients

Locations

417 State St
Ste 439
Bangor, ME 04401
Phone (207) 941-8270

Organizations & group practices 1

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.

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1982624326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 STATE ST STE 439",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016635",
            "telephone_number": "207-561-2400",
            "fax_number": "207-990-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 STATE ST STE 439",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016635",
            "telephone_number": "207-561-2400",
            "fax_number": "207-990-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRASK",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "014908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.