ELIZABETH JANE VIDELOCK M.D.
NPI 1356578272
Internal Medicine in Bar Harbor, ME

Q: What is Elizabeth Videlock's NPI number?

The NPI number for Elizabeth Videlock is 1356578272. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Q: What is Elizabeth Videlock's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 18, 2009PECOS Enrolled

10 WAYMAN LN, MDI HOSPITAL, BAR HARBOR, ME 04609(207) 288-5082(207) 288-8600 Get Directions Write a Review

NPPES record last updated: March 13, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Elizabeth Jane Videlock M.d. NPPES

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

ELIZABETH JANE VIDELOCK M.D. (NPI 1356578272) is an individual internal medicine provider in Bar Harbor, Maine, licensed in Massachusetts (250421) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356578272

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameELIZABETH JANE VIDELOCKCredential: M.D.

Location Address10 WAYMAN LN, MDI HOSPITALBar Harbor, ME 04609-1625

Mailing Address10 Wayman Ln, Mdi HospitalBar Harbor, ME 04609-1625 · (207) 288-5082 · Fax (207) 288-8600

Phone(207) 288-5082

Fax(207) 288-8600

Sole ProprietorNo

Enumeration DateJune 18, 2009

Last NPPES UpdateMarch 13, 2013

✔ NPI 1356578272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in MA · 250421✔ Licensed in ME · TD 121060

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

10 WAYMAN LN, Bar Harbor, ME 04609

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Other Identifiers 1

Medicare PIN2981101ME

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Jane Videlock 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 Elizabeth Videlock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Regents Of The University Of California

2,742 mi

Internal Medicine

200 MEDICAL PLAZA, SUITE 365,530,420,250,120,214
Los Angeles, CA 90095

Reassigned Medicare billing, California enrollment
1,766 clinicians in this Medicare group

NPI 1235107566 (310) 794-1276

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 04609 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

$123.23 typical visit price

range $53.26 – $162.77

Typical copayment $30.80 (range $13.31 – $40.69)

Most-billed visit code 99204

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 20

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

MS. LISA GRANT FNP

Nurse Practitioner (Family)