BILJANA BERETICH MD
NPI 1609915602
Psychiatry & Neurology - Neurology in Scarborough, ME
About Biljana Beretich Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BILJANA BERETICH MD (NPI 1609915602) is an individual neurology provider in Scarborough, Maine, licensed in Maine (MD18124) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Biljana Beretich 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.
Medicare Billing Reassignments
2Medicare enrollment records show Biljana Beretich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Scarborough, ME 04074
- Reassigned Medicare billing, Maine enrollment
- 3,140 clinicians in this Medicare group
Scarborough, ME 04074
- Reassigned Medicare billing, Maine enrollment
- 69 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Maine Medical Center
Acute Care Hospitals · Portland, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04074 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SCARBOROUGH, ME 04074
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 Biljana Beretich's NPI number?
The NPI number for Biljana Beretich is 1609915602. It was assigned to this individual provider in the NPPES registry on February 6, 2007.
Where is Biljana Beretich located?
Biljana Beretich practices at 49 Spring St 2nd Floor, Scarborough, ME 04074. The listed phone number is (207) 883-1414.
What is Biljana Beretich's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Biljana Beretich enrolled in Medicare?
Yes. Biljana Beretich 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.
Which organizations bill Medicare for Biljana Beretich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Biljana Beretich reassigns Medicare benefits to 2 organizations: Mainehealth (Scarborough, ME) and Maine Medical Partners (Scarborough, ME). Each 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 Biljana Beretich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Biljana Beretich accept?
Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Biljana Beretich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Biljana Beretich affiliated with any hospitals?
According to CMS data, Biljana Beretich is affiliated with Maine Medical Center.
When was this NPI record last updated?
The NPPES record for Biljana Beretich was last updated on October 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Biljana Beretich, MD · NPI 1609915602
Neurology physician in Scarborough, Maine. Individual provider, active in the CMS NPPES registry since February 6, 2007.
## Identity
- **NPI:** 1609915602 (Entity type: Individual)
- **Enumerated:** February 6, 2007
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** MD18124 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 49 SPRING ST, 2ND FLOOR, Scarborough, ME 04074-8926
- **Phone:** (207) 883-1414 · **Fax:** (207) 883-1010
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mainehealth (NPI 1497052518, Scarborough, ME); Maine Medical Partners (NPI 1215269626, Scarborough, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** October 8, 2012
- **Other identifiers:** Medicaid 434525399 (ME); Medicaid 30209415 (NH); Medicare PIN 001325601 (ME); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1609915602) · Data from the CMS NPPES public registry.