LYNNE M TETREAULT MD
NPI 1023104155
Pediatrics in Saco, ME
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
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Lynne Tetreault reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saco, ME 04072
- Reassigned Medicare billing, Maine enrollment
- 188 clinicians in this Medicare group
Biddeford, ME 04005
- Reassigned Medicare billing, Maine enrollment
- 3,140 clinicians in this Medicare group
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 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.
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.
Which organizations bill Medicare for Lynne Tetreault's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lynne Tetreault reassigns Medicare benefits to 2 organizations: Maine Medical Partners (Saco, ME) and Mainehealth (Biddeford, ME). Each 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 Lynne Tetreault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lynne Tetreault accept?
Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Lynne M Tetreault, MD · NPI 1023104155
Pediatrics physician in Saco, Maine. Individual provider, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1023104155 (Entity type: Individual)
- **Enumerated:** October 5, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD14722 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 5 SCAMMAN ST., Saco, ME 04072
- **Phone:** (207) 282-3327
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Maine Medical Partners (NPI 1134144090, Saco, ME); Mainehealth (NPI 1215417019, Biddeford, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Vermont College Of Medicine, class of 1995
## Record status
- **NPPES last updated:** August 24, 2012
- **Other identifiers:** Medicaid 268810099 (ME); Medicare PIN 002725402 (ME); Medicare PIN 002725401 (ME)
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Source: [NPI Profile](https://npiprofile.com/npi/1023104155) · Data from the CMS NPPES public registry.