DR. PATRICK T MAILLOUX DO
Accepted Insurance for NPI 1689697708
Internal Medicine - Critical Care Medicine in South Portland, ME

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106(207) 828-1122(207) 828-0188 Get Directions

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Does Dr. Mailloux take my insurance?

Taro Health includes Dr. Mailloux in 7 Maine plans sold on CoverME.gov for 2026. WellSense Health Plan also lists Dr. Mailloux in New Hampshire.

Call before you book: insurer directories can be out of date, so call the office at (207) 828-1122 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

14 plans · 2026 plan year

Maine plans 7 plans

Plans sold to Maine residents. Costs are for the standard version of each plan.

Taro Health

7 plans · HMO
Accepting new patients
Taro Health Maine MP Network · 4 plans · Preferred tier
MENDING Clear Choice Gold 2500 (No Direct Primary Care/DPC)HMOGold$2,50054879ME0010009
MENDING Clear Choice Silver 4000 (No Direct Primary Care/DPC)HMOSilver$4,00054879ME0010008
MENDING Clear Choice Bronze 7500 (No Direct Primary Care/DPC)HMOExpanded Bronze$7,50054879ME0010007
MENDING Clear Choice Bronze 8000 HSA (No Direct Primary Care/DPC)HMOExpanded Bronze$8,00054879ME0010010
Taro Health Maine DPC Network · 3 plans · Preferred tier
MENDING Direct Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health)HMOGold$054879ME0010006
MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health)HMOSilver$2,30054879ME0010003
MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health)HMOExpanded Bronze$4,95054879ME0010002

Also listed in other states 7 plans · 1 state

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

WellSense Health Plan · New Hampshire

7 plans · HMO
Not accepting new patientsDeductible $0 to $7,600
WellSense Clarity NH Gold 2000 + $0 Rx List + 24/7 Nurse AdviceHMOGold$2,00013219NH0010001
WellSense Clarity NH Silver 0 Deductible + $0 Rx List + 24/7 Nurse AdviceHMOSilver$013219NH0010004
WellSense Clarity NH Silver 3400 + $0 Rx List + 24/7 Nurse AdviceHMOSilver$3,40013219NH0010003
WellSense Clarity NH Silver 6000 + $0 Rx List + 24/7 Nurse AdviceHMOSilver$6,00013219NH0010002
WellSense Clarity NH Bronze 6500 HSA + $0 Rx List + 24/7 Nurse AdviceHMOExpanded Bronze$6,50013219NH0010006
WellSense Clarity NH Bronze 7500 HSA + $0 Rx List + 24/7 Nurse AdviceHMOExpanded Bronze$7,50013219NH0010005
WellSense Clarity NH Bronze 7600 HSA + $0 Rx List + 24/7 Nurse AdviceHMOExpanded Bronze$7,60013219NH0010007

Questions about Dr. Mailloux’s insurance

Does Dr. Mailloux take Taro Health?

For Maine Marketplace plans, yes: Taro Health includes Dr. Mailloux in 7 plans for 2026. Call the office at (207) 828-1122 to confirm your plan before booking.

Do I need a referral to see Dr. Mailloux?

Not under the Maine plans that list Dr. Mailloux: the 2026 plan files say a specialist referral is not required.

Does Dr. Mailloux accept Medicare?

Yes. CMS files show Dr. Mailloux accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

SourceWhat it provides hereSource date
Insurer provider directory filesWhich plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.WellSense Health Plan: Oct 5, 2026
Taro Health: Sep 23, 2026
CMS Health Insurance Exchange public use filesPlan details and Summary of Benefits links for HealthCare.gov states.Plan year 2026
CMS state-based exchange public use filesPlan details for states that run their own exchange, here Maine. No document links.Plan year 2026, Jun 3, 2026
  • Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
  • Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
  • Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
  • Networks change during the year. Confirm with your insurer or the practice before booking.