DR. MARY LARISSA WEIRICH MD
NPI 1518427780
Obstetrics & Gynecology in Portland, ME

Active since March 22, 2019PECOS EnrolledAccepts Medicare Assignment
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-0111 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 15, 2023, Mar 22, 2019 (2 updates tracked since 2019).

About Dr. Mary Larissa Weirich Md NPPES

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

DR. MARY LARISSA WEIRICH MD (NPI 1518427780) is an individual obstetrics & gynecology provider in Portland, Maine, licensed in Georgia (94946) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Atlanta, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1518427780
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. MARY LARISSA WEIRICHCredential: MD
Location Address22 BRAMHALL STPortland, ME 04102-3175
Mailing Address63 Cumberland RdSouth Portland, ME 04106-6316 · (503) 930-3413
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 22, 2019
Last NPPES UpdateMarch 15, 20232 updates tracked since enumeration
NPPES CertifiedMarch 15, 2023
✔ NPI 1518427780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in GA · 94946
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
22 BRAMHALL ST, Portland, ME 04102

Secondary Practice Location 1

Location 11364 Clifton Rd NEAtlanta, GA 30322-3175 · Phone (503) 930-3413

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

Dr. Mary Larissa Weirich Md 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 ID7214265503
PECOS Enrollment IDI20230626000616
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

Physician Assistant (Medical)
22 BRAMHALL ST
PORTLAND, ME 04102
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102

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 Mary Weirich's NPI number?

The NPI number for Mary Weirich is 1518427780. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Mary Weirich located?

Mary Weirich practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-0111.

What is Mary Weirich's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mary Weirich enrolled in Medicare?

Yes. Mary Weirich 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.

When was this NPI record last updated?

The NPPES record for Mary Weirich was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.