MIKIKO DEMURA MARZILLI MS LD
NPI 1205373578
Dietitian, Registered in Bangor, ME
About Mikiko Demura Marzilli Ms Ld NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIKIKO DEMURA MARZILLI MS LD (NPI 1205373578) is an individual dietitian, registered in Bangor, Maine, licensed in Maine (TD1334) and active in the NPI registry since January 2017. She is affiliated with Northern Light Eastern Maine Medical Center and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Mikiko Demura Marzilli Ms Ld 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northern Light Eastern Maine Medical Center
Acute Care Hospitals · Bangor, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BANGOR, ME 04401
BANGOR, ME 04401
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 Mikiko Marzilli's NPI number?
The NPI number for Mikiko Marzilli is 1205373578. It was assigned to this individual provider in the NPPES registry on January 25, 2017.
Where is Mikiko Marzilli located?
Mikiko Marzilli practices at 905 Union St Suite 11, Bangor, ME 04401. The listed phone number is (207) 973-7364.
What is Mikiko Marzilli's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Mikiko Marzilli enrolled in Medicare?
Yes. Mikiko Marzilli 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.
Is Mikiko Marzilli affiliated with any hospitals?
According to CMS data, Mikiko Marzilli is affiliated with Northern Light Eastern Maine Medical Center.
When was this NPI record last updated?
The NPPES record for Mikiko Marzilli was last updated on January 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mikiko Demura Marzilli, MS LD · NPI 1205373578
Dietitian, Registered provider in Bangor, Maine. Individual provider, active in the CMS NPPES registry since January 25, 2017.
## Identity
- **NPI:** 1205373578 (Entity type: Individual)
- **Enumerated:** January 25, 2017
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** TD1334 (Maine)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 905 UNION ST, SUITE 11, Bangor, ME 04401-3050
- **Phone:** (207) 973-7364
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** January 25, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1205373578) · Data from the CMS NPPES public registry.