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LYNNE M TETREAULT MD
NPI 1023104155
Pediatrics in Saco, ME

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: August 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lynne M Tetreault Md NPPES

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

LYNNE M TETREAULT MD (NPI 1023104155) is an individual pediatrics provider in Saco, Maine, licensed in Maine (MD14722) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (1995).

NPPES Registry Identity

NPI1023104155
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLYNNE M TETREAULTCredential: MD
Location Address5 SCAMMAN ST.Saco, ME 04072
Mailing Address301c Us Route 1Scarborough, ME 04074-9701 · (207) 396-8600 · Fax (207) 396-8632
Phone(207) 282-3327
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1995
Enumeration DateOctober 5, 2006
Last NPPES UpdateAugust 24, 2012
✔ NPI 1023104155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ME · MD14722
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5 SCAMMAN ST., Saco, ME 04072
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Other Identifiers 3

Medicaid268810099ME
Medicare PIN002725402ME
Medicare PIN002725401ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lynne M Tetreault Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274799580
PECOS Enrollment IDI20120731000365
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04072 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

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 Lynne Tetreault's NPI number?

The NPI number for Lynne Tetreault is 1023104155. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Lynne Tetreault located?

Lynne Tetreault practices at 5 Scamman St., Saco, ME 04072. The listed phone number is (207) 282-3327.

What is Lynne Tetreault's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lynne Tetreault enrolled in Medicare?

Yes. Lynne Tetreault is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lynne Tetreault accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Lynne Tetreault as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lynne Tetreault was last updated on August 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.