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IAN NOEL TADEO DON DON S PANUNCIALMAN M.D.
NPI 1013190545
Family Medicine in Brewer, ME

Active since December 06, 2007PECOS Enrolled
234 STATE ST, BREWER, ME 04412(207) 989-0550(207) 989-0551 Get Directions Write a Review

NPPES record last updated: May 9, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ian Noel Tadeo Don Don S Panuncialman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IAN NOEL TADEO DON DON S PANUNCIALMAN M.D. (NPI 1013190545) is an individual family medicine provider in Brewer, Maine, licensed in Maine (MD20887) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013190545
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameIAN NOEL TADEO DON DON S PANUNCIALMANCredential: M.D.
Location Address234 STATE STBrewer, ME 04412-1519
Mailing Address43 Whiting Hill RdBrewer, ME 04412-1005 · (207) 989-0550 · Fax (207) 989-0551
Phone(207) 989-0550
Fax(207) 989-0551
Sole ProprietorYes
Enumeration DateDecember 6, 2007
Last NPPES UpdateMay 9, 2016
✔ NPI 1013190545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · MD20887
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 233959 (MA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
234 STATE ST, Brewer, ME 04412
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ian Noel Tadeo Don Don S Panuncialman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ian Noel Tadeo Don Panuncialman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eastern Maine Medical Center
1.6 mi
General Acute Care Hospital
489 STATE ST
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 788 clinicians in this Medicare group
NPI 1790789147 (207) 973-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04412 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM ALEXANDER STURROCK MD
Family Medicine
234 STATE ST
BREWER, ME 04412
Penobscot County (207) 989-0550
LISA MADELINE BILLINGS-LINDSEY DO
Family Medicine
234 STATE ST
BREWER, ME 04412
Penobscot County (207) 989-0550
STACEY LUCIA GIBSON MD
Family Medicine
234 STATE ST
BREWER, ME 04412
Penobscot County (207) 989-0550
RYLEE ERIN LEIGHTON CABALLERO FNP-C
Nurse Practitioner (Family)
234 STATE ST
BREWER, ME 04412
Penobscot County (209) 989-0550
ANNETTE MARIE HATCH-CLEIN FNP, P.MH CNS
Nurse Practitioner (Family)
234 STATE ST
BREWER, ME 04412
Penobscot County (207) 989-0550
KATHLEEN ANNE KNIPSCHER DO
Family Medicine
234 STATE ST
BREWER, ME 04412
Penobscot County (207) 989-0550
KENNETH SIMONE DO
Family Medicine
234 STATE ST
BREWER, ME 04412
Penobscot County (207) 989-0550
PAULINE KAY JOHNSTON MD
Family Medicine
234 STATE ST
BREWER, ME 04412
Penobscot County (207) 989-0550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ian Noel Tadeo Don Panuncialman's NPI number?

The NPI number for Ian Noel Tadeo Don Panuncialman is 1013190545. It was assigned to this individual provider in the NPPES registry on December 6, 2007.

Where is Ian Noel Tadeo Don Panuncialman located?

Ian Noel Tadeo Don Panuncialman practices at 234 State St, Brewer, ME 04412. The listed phone number is (207) 989-0550.

What is Ian Noel Tadeo Don Panuncialman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ian Noel Tadeo Don Panuncialman enrolled in Medicare?

Yes. Ian Noel Tadeo Don Panuncialman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ian Noel Tadeo Don Panuncialman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ian Noel Tadeo Don Panuncialman reassigns Medicare benefits to Eastern Maine Medical Center (Bangor, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ian Noel Tadeo Don Panuncialman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ian Noel Tadeo Don Panuncialman was last updated on May 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.