LENA R WITHAM PAC
NPI 1396029690
Physician Assistant in Bangor, ME

Q: What is Lena Witham's NPI number?

The NPI number for Lena Witham is 1396029690. It was assigned to this individual provider in the NPPES registry on October 5, 2011.

Q: What is Lena Witham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Lena Witham was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 05, 2011PECOS EnrolledAccepts Medicare Assignment

1012 UNION ST, BANGOR, ME 04401(207) 404-8100(207) 947-0435 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2021, Apr 19, 2021, Oct 10, 2018 and 2 more (5 updates tracked since 2017).

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About Lena R Witham Pac NPPES

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

LENA R WITHAM PAC (NPI 1396029690) is an individual physician assistant in Bangor, Maine, licensed in Maine (PA1368) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1396029690

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLENA R WITHAMCredential: PAC

Location Address1012 UNION STBangor, ME 04401-3060

Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 404-8200 · Fax (207) 947-0435

Phone(207) 404-8100

Fax(207) 947-0435

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateOctober 5, 2011

Last NPPES UpdateMay 5, 20215 updates tracked since enumeration

NPPES CertifiedMay 5, 2021

✔ NPI 1396029690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ME · PA1368

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1012 UNION ST, Bangor, ME 04401

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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

Lena R Witham Pac 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 ID9830363902

PECOS Enrollment IDI20111130000044

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Hospital

Acute Care Hospitals · Bangor, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200001

Location360 BroadwayBangor, ME 04401 · Penobscot County

Emergency services

Physician 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.

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

$66.74 typical visit price

range $16.90 – $132.79

Typical copayment $16.68 (range $4.22 – $33.19)

Most-billed visit code 99213

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.

THOMAS N RUSK MD

Psychiatry & Neurology (Psychiatry)