JANESE SHADE' LASTER M.D.
NPI 1679839047
Internal Medicine - Gastroenterology in Bangor, ME

Active since April 10, 2012PECOS EnrolledAccepts Medicare Assignment
417 STATE ST STE 121, BANGOR, ME 04401(207) 973-4266 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2020, Aug 3, 2020 (2 updates tracked since 2020).

About Janese Shade' Laster M.d. NPPES

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

JANESE SHADE' LASTER M.D. (NPI 1679839047) is an individual gastroenterology provider in Bangor, Maine, licensed in Maine (MD23165) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2012).

NPPES Registry Identity

NPI1679839047
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameJANESE SHADE' LASTERCredential: M.D.
Location Address417 STATE ST STE 121Bangor, ME 04401-6630
Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2012
Enumeration DateApril 10, 2012
Last NPPES UpdateOctober 22, 20202 updates tracked since enumeration
NPPES CertifiedOctober 22, 2020
NPI 1679839047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in ME · MD23165 Licensed in NY · 296806
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
417 STATE ST STE 121, Bangor, ME 04401

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

Janese Shade' Laster 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 ID4486903895
PECOS Enrollment IDI20231031002932
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 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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
417 STATE ST STE 121
BANGOR, ME 04401
Internal Medicine (Gastroenterology)
417 STATE ST STE 121
BANGOR, ME 04401
Internal Medicine (Gastroenterology)
417 STATE ST STE 121
BANGOR, ME 04401
Physician Assistant (Medical)
417 STATE ST STE 121
BANGOR, ME 04401
Physician Assistant
417 STATE ST STE 121
BANGOR, ME 04401
Physician Assistant
417 STATE ST STE 121
BANGOR, ME 04401
Nurse Practitioner (Acute Care)
417 STATE ST STE 121
BANGOR, ME 04401
Physician Assistant
417 STATE ST STE 121
BANGOR, ME 04401

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 Janese Laster's NPI number?

The NPI number for Janese Laster is 1679839047. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Janese Laster located?

Janese Laster practices at 417 State St Ste 121, Bangor, ME 04401. The listed phone number is (207) 973-4266.

What is Janese Laster's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Janese Laster enrolled in Medicare?

Yes. Janese Laster 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 Janese Laster was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.