MAINE STREET MEDICAL PLLC
NPI 1598477887
Internal Medicine in Brunswick, ME

Active since December 19, 2022
8 MASON ST, BRUNSWICK, ME 04011(314) 249-9759 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 8, 2023, Dec 19, 2022 (2 updates tracked since 2022).

About Maine Street Medical Pllc NPPES

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

MAINE STREET MEDICAL PLLC (NPI 1598477887) is a healthcare organization registered as an internal medicine in Brunswick, Maine and active in the NPI registry since December 2022. The organization lists Andreas Thyssen, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1598477887
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMAINE STREET MEDICAL PLLC
Location Address8 MASON STBrunswick, ME 04011-1514
Mailing Address22 Dionne CirBrunswick, ME 04011-3211 · (314) 249-9759
Organization SubpartNo
Authorized OfficialAndreas ThyssenCo-owner · (314) 249-9759
Enumeration DateDecember 19, 2022
Last NPPES UpdateJune 8, 20232 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
✔ NPI 1598477887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
Also ListedPediatricsTaxonomy 208000000X
8 MASON ST, Brunswick, ME 04011

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maine Street Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Maine Street Medical PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1215373279
8 MASON ST
Brunswick, ME 04011
(207) 619-2314
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1871939884
84 MARGINAL WAY
Portland, ME 04101
(207) 774-5816
✔ PECOS✔ Accepts Medicare23 mi
Internal Medicine
NPI 1881980332
22 BRAMHALL ST
Portland, ME 04102
(207) 662-7060
✔ PECOS✔ Accepts Medicare24 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Maine Street Medical PLLC's NPI number?

The NPI number for Maine Street Medical PLLC is 1598477887. It was assigned to this organization in the NPPES registry on December 19, 2022.

Where is Maine Street Medical PLLC located?

Maine Street Medical PLLC is located at 8 Mason St, Brunswick, ME 04011. The listed phone number is (314) 249-9759.

What is Maine Street Medical PLLC's specialty?

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

Is Maine Street Medical PLLC enrolled in Medicare?

Yes. Maine Street Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maine Street Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Internal Medicine, reassign their Medicare billing to Maine Street Medical PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Maine Street Medical PLLC was last updated on June 8, 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.