JENNIFER KLOTZ JUBULIS MD NPI 1457489742

Pediatrics (Pediatric Infectious Diseases) in Portland, ME

NPI 1457489742 Individual Female Pediatrics Pediatric Infectious Diseases PECOS Enrolled

About JENNIFER JUBULIS

Jennifer Jubulis is a pediatrician established in Portland, Maine and her medical specialization is pediatrics (pediatric infectious diseases) . The NPI number of Jennifer Jubulis is 1457489742 and was assigned on March 2007. The practitioner's primary taxonomy code is 2080P0208X with license number MD19415 (ME). The provider is registered as an individual and her NPI record was last updated 9 years ago.

A pediatrician like Jennifer Klotz Jubulis Md is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Jennifer Jubulis is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Jennifer Jubulis is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1457489742

Provider Name JENNIFER KLOTZ JUBULIS MD
Provider Location Address887 CONGRESS ST SUITE 320 PORTLAND, ME 04102
Provider Mailing Address301C US ROUTE ONE SCARBOROUGH, ME 04074
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date03-01-2007
Last Update Date10-08-2012


Primary Taxonomy

Taxonomy Code2080P0208X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
SpecializationPediatric Infectious Diseases
License No.MD19415
License StateME
Taxonomy DescriptionA pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.

Business Address

JENNIFER KLOTZ JUBULIS MD
887 CONGRESS ST
SUITE 320
PORTLAND, ME
ZIP 04102
Phone: (207) 662-5522
Fax: (207) 662-5527

Get Directions


Mailing Address

JENNIFER KLOTZ JUBULIS MD
301C US ROUTE ONE
SCARBOROUGH, ME
ZIP 04074
Phone: (207) 396-8600
Fax: (207) 396-8632



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1208000000XAllopathic & Osteopathic PhysiciansPediatricsD0068961MDNo

Taxonomy Description: a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2208000000XAllopathic & Osteopathic PhysiciansPediatricsMD19415MENo

Taxonomy Description: a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
332504100MEDICAID (05)MD

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548264054DR. MICHAEL ROBERT CURCI M.D.
Individual
Surgery (Pediatric Surgery)887 CONGRESS ST STE 410A
PORTLAND, ME 04102
(207) 772-4444
1942204466 BAIRD MALLORY MD
Individual
Surgery (Pediatric Surgery)887 CONGRESS ST SUITE 300
PORTLAND, ME 04102
(207) 662-5555
1700874104DR. GEORGES S ABOURJAILY MD
Individual
Surgery887 CONGRESS ST SUITE 400
PORTLAND, ME 04102
(207) 774-6368
1275524928MS. RENEE L. CHARD MSC; CGC
Individual
Genetic Counselor, MS887 CONGRESS ST SUITE 200
PORTLAND, ME 04102
(207) 771-5549
1487630265THE MAINE SURGICAL CARE GROUP
Organization
Surgery887 CONGRESS ST SUITE 400
PORTLAND, ME 04102
(207) 774-6368
1447239025 DAWNE MILLER FNP-C
Individual
Nurse Practitioner (Family)887 CONGRESS ST SUITE 210
PORTLAND, ME 04102
(207) 774-2544
1750360996 MARY R CARPENTER MS
Individual
Genetic Counselor, MS887 CONGRESS ST SUITE 200
PORTLAND, ME 04102
(207) 771-5549
1932171089 CHERYL L BLANK DO
Individual
Pediatrics (Pediatric Gastroenterology)887 CONGRESS ST SUITE 410B
PORTLAND, ME 04102
(207) 662-5522
1093781254DR. MICHAEL A DEDEKIAN MD
Individual
Pediatrics (Pediatric Endocrinology)887 CONGRESS ST SUITE 320
PORTLAND, ME 04102
(207) 662-5522
1952339178 JOHN D. BANCROFT MD
Individual
Pediatrics (Pediatric Gastroenterology)887 CONGRESS ST SUITE 410B
PORTLAND, ME 04102
(207) 523-3289
1477581361 ANNE MARIE CAIRNS DO
Individual
Pediatrics887 CONGRESS ST
PORTLAND, ME 04102
(207) 662-5522
1013946011 KENNETH LOMBARD M.D.
Individual
Pediatrics (Pediatric Gastroenterology)887 CONGRESS ST SUITE 410B
PORTLAND, ME 04102
(207) 662-5522
1003846361DR. THOMAS MELLOW M.D.
Individual
Pediatrics (Pediatric Pulmonology)887 CONGRESS ST SUITE 320
PORTLAND, ME 04102
(207) 662-5522
1952332744MS. SARA A ELLINGWOOD M.S.
Individual
Genetic Counselor, MS887 CONGRESS ST SUITE 320
PORTLAND, ME 04102
(207) 662-5522
1790717312 MARK J INTEGLIA M.D.
Individual
Pediatrics (Pediatric Gastroenterology)887 CONGRESS ST SUITE 410B
PORTLAND, ME 04102
(207) 662-5522
1427080332 ALAN MORRIS M.D.
Individual
Pediatrics (Pediatric Endocrinology)887 CONGRESS ST SUITE 320
PORTLAND, ME 04102
(207) 662-5522
1356375950DR. CAROL MCCARTHY M.D
Individual
Pediatrics (Pediatric Infectious Diseases)887 CONGRESS ST SUITE 320
PORTLAND, ME 04102
(207) 662-5522
1790718716DR. ALBERT WILLIAM DIBBINS M.D.
Individual
Surgery (Pediatric Surgery)887 CONGRESS ST SUITE 410A
PORTLAND, ME 04102
(207) 772-4444
1689682809 ANNE I FREEDMAN LCSW
Individual
Social Worker (Clinical)887 CONGRESS ST SUITE 320
PORTLAND, ME 04102
(207) 662-5522
1750493417 MARY E CORRIGAN PNP
Individual
Nurse Practitioner (Pediatrics)887 CONGRESS ST SUITE 320
PORTLAND, ME 04102
(207) 662-5522

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.