Individual provider Active NPI

Mary K.H. Yee, D.O

  • Neuromusculoskeletal Medicine & OMM Physician
  • Portland, ME
National Provider Identifier
1982894192
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
DO1994 Issued in ME
Practice address
22 Bramhall St
Portland, ME 04102-3134
Phone
(207) 347-3164
Fax
(207) 899-3195
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 243949 MA
Neuromusculoskeletal Medicine & OMM Physician 204D00000X DO1994 ME Primary

Addresses

Primary practice location

22 Bramhall St
Portland, ME 04102-3134

Mailing address

195 Fore River Pkwy Ste 470
Portland, ME 04102-2787
Phone (207) 347-3164

Other practice location 1

716 Stevens Ave
Portland, ME 04103-2656
Phone (207) 221-4242

Other practice location 2

11 Hills Beach Rd
Biddeford, ME 04005-9526
Phone (207) 602-2358

Other identifiers 2

IdentifierTypeStateIssuer
30227334MedicaidNH
432972199MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080812000567 ME Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 2163597097 Reassigns benefits to 1 organization
I20110512000501 MA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 2163597097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice
Education
University of New England, College of Osteo Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Osteopathic Manipulative Medicine PCGroup PAC ID 2365796273, 8 clinicians

Practice addresses (Care Compare)

195 Fore River Pkwy
Suite 470
Portland, ME 04102-2787
Phone (207) 347-3164

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 347-3164

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO1994MEMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Faculty Services Inc CurrentSince Aug 1, 2015 Accepting new patients
Fairview Hospital CurrentSince Aug 1, 2015 Accepting new patients
Hospital Osteopathic Manipulative Medicine PC Neuromusculoskeletal Medicine & Omm CurrentSince Jun 22, 2023 Accepting new patients
Hospital Manipulative Service PA Neuromusculoskeletal Medicine & Omm Past Accepting new patients
University of New England Neuromusculoskeletal Medicine & Omm Past Accepting new patients

Locations

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

42 Summer St
Ste 301
Pittsfield, MA 01201
Phone (413) 442-0085

195 Fore River Pkwy
Ste 470
Portland, ME 04102
Phone (207) 347-3164

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

Interoperability endpoints

  • Direct secure messaging: myee594545@direct.mmc.mainehealth.org
  • Direct secure messaging: maryyee@bfs.medalliesdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1982894192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 FORE RIVER PKWY STE 470",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022787",
            "telephone_number": "207-347-3164",
            "fax_number": "207-899-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "207-347-3164",
            "fax_number": "207-899-3195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 Stevens Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041032656",
            "country_code": "US",
            "telephone_number": "207-221-4242",
            "fax_number": "207-523-1913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Hills Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040059526",
            "country_code": "US",
            "telephone_number": "207-602-2358",
            "fax_number": "207-602-5904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEE",
        "first_name": "MARY",
        "middle_name": "K.H.",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "243949",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "DO1994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30227334",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432972199",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.