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AMELIA FONSECA ESCUDERO
NPI 1942422399
Psychiatry & Neurology - Psychiatry in Bangor, ME

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
268 STILLWATER AVE, BANGOR, ME 04401(207) 973-6100 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amelia Fonseca Escudero NPPES

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

AMELIA FONSECA ESCUDERO (NPI 1942422399) is an individual psychiatry provider in Bangor, Maine, licensed in Maine (MD19646) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1942422399
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameAMELIA FONSECA ESCUDERO
Location Address268 STILLWATER AVEBangor, ME 04401-3945
Mailing Address268 Stillwater AveBangor, ME 04401-3945 · (207) 973-6100
Phone(207) 973-6100
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 3, 2007
Last NPPES UpdateMay 8, 2019
✔ NPI 1942422399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in ME · MD19646✔ Licensed in MA · 225623
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
268 STILLWATER AVE, Bangor, ME 04401
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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

Amelia Fonseca Escudero 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 ID6002961554
PECOS Enrollment IDI20131003000092
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Amelia Fonseca Escudero reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Acadia Hospital Corp
Same address
Psychiatric Hospital
268 STILLWATER AVENUE
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 348 clinicians in this Medicare group
NPI 1215940523 (207) 973-6470
State Of Maine
1.1 mi
Community/Behavioral Health
656 STATE ST
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 59 clinicians in this Medicare group
NPI 1184020091 (207) 287-7418

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

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
$162.77 typical visit price
range $53.26 – $162.77
Typical copayment $40.69 (range $13.31 – $40.69)
Most-billed visit code 99205
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

DR. KAREN SINGH MD
Student in an Organized Health Care Education/Training Program
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6100
CRYSTLE ELDRIDGE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6100
ALENA AYOTTE OTR/L
Occupational Therapist
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6100
DR. CLIFFORD M SINGER M.D.
Psychiatry & Neurology (Geriatric Psychiatry)
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6100
JENNIFER M TRACEY LMFT
Marriage & Family Therapist
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6100
JUSTIN MICHAUD
Counselor (Professional)
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6044
KATHERINE DIONNE OT
Occupational Therapist
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6100
MARIA GLIDDEN OTR/L
Occupational Therapist
268 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 973-6100

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 Amelia Fonseca Escudero's NPI number?

The NPI number for Amelia Fonseca Escudero is 1942422399. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Amelia Fonseca Escudero located?

Amelia Fonseca Escudero practices at 268 Stillwater Ave, Bangor, ME 04401. The listed phone number is (207) 973-6100.

What is Amelia Fonseca Escudero's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Amelia Fonseca Escudero enrolled in Medicare?

Yes. Amelia Fonseca Escudero 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 Amelia Fonseca Escudero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amelia Fonseca Escudero reassigns Medicare benefits to 2 organizations: Acadia Hospital Corp (Bangor, ME) and State Of Maine (Bangor, 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 Amelia Fonseca Escudero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amelia Fonseca Escudero was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.