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TAREK WAZZAN M.D.
NPI 1417399528
Psychiatry & Neurology - Neurology in Bangor, ME

Active since July 18, 2013PECOS EnrolledAccepts Medicare Assignment
489 STATE ST, NEURODIAGNOSTIC DEPT, BANGOR, ME 04401(207) 973-7360(207) 973-7362 Get Directions Write a Review

NPPES record last updated: July 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tarek Wazzan M.d. NPPES

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

TAREK WAZZAN M.D. (NPI 1417399528) is an individual neurology provider in Bangor, Maine, licensed in Maine (MD19696) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1417399528
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameTAREK WAZZANCredential: M.D.
Location Address489 STATE ST, NEURODIAGNOSTIC DEPTBangor, ME 04401-6616
Mailing Address489 State St, Neurodiagnostic DeptBangor, ME 04401-6616 · (207) 973-7360 · Fax (207) 973-7362
Phone(207) 973-7360
Fax(207) 973-7362
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 18, 2013
✔ NPI 1417399528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in ME · MD19696
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
489 STATE 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

Tarek Wazzan M.d. 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 ID6103052089
PECOS Enrollment IDI20131125000348
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
188 services179 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
74 services74 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services29 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Cary Medical Center

Acute Care Hospitals · Caribou, ME
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number200031
Location163 Van Buren Rd, Suite 1Caribou, ME 04736 · Aroostook County
Emergency services Birthing friendly

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Northern Light Maine Coast Hospital

Acute Care Hospitals · Ellsworth, ME
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200050
Location50 Union StreetEllsworth, ME 04605 · Hancock County
Emergency services Birthing friendly

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
$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.

MARGARET ELIZABETH KASPER PA-C
Physician Assistant
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-4949
DARA H KNAPP PA
Physician Assistant
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-7000
JAIME LEE NAUGHTON CRNA
Nurse Anesthetist, Certified Registered
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-4519
YASMANI LEYVA ECHEVARRIA CRNA
Nurse Anesthetist, Certified Registered
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-7000
KATE LUCILLE BLANCHARD PA-C
Physician Assistant (Surgical)
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-7000
DR. JAMES W BERRY M.D.
Family Medicine
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-7000
JENNIFER LYNN MCKEON CRNP
Nurse Practitioner
489 STATE ST, VASCULAR CARE OF MAINE
BANGOR, ME 04401
Penobscot County (207) 973-6670
DR. LEONARD C MONEKE MD
Hospitalist
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-7000

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 Tarek Wazzan's NPI number?

The NPI number for Tarek Wazzan is 1417399528. It was assigned to this individual provider in the NPPES registry on July 18, 2013.

Where is Tarek Wazzan located?

Tarek Wazzan practices at 489 State St Neurodiagnostic Dept, Bangor, ME 04401. The listed phone number is (207) 973-7360.

What is Tarek Wazzan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Tarek Wazzan enrolled in Medicare?

Yes. Tarek Wazzan 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 Tarek Wazzan affiliated with any hospitals?

According to CMS data, Tarek Wazzan is affiliated with St Joseph Hospital, Cary Medical Center, Northern Light Eastern Maine Medical Center and Northern Light Maine Coast Hospital.

When was this NPI record last updated?

The NPPES record for Tarek Wazzan was last updated on July 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.