DR. THOMAS J VANIDESTINE JR. DC, CCSP
NPI 1538108022
Chiropractor in Bangor, ME
NPI Status: Active since June 06, 2006
Contact Information
336 MOUNT HOPE AVE
SUITE 11
BANGOR, ME
ZIP 04401
Phone: (207) 942-2800
Fax: (207) 990-2362
- Individual
- Male
- Years of Experience 36
- Chiropractor
- Accepts Insurance
- Accepts Medicare Approved Payment
About THOMAS VANIDESTINE
This page provides the complete NPI Profile along with additional information for Thomas Vanidestine, a provider established in Bangor, Maine with a medical specialization in Chiropractor and more than 36 years of experience. The healthcare provider is registered in the NPI registry with number 1538108022 assigned on June 2006. The practitioner's primary taxonomy code is 111N00000X with license number CR814 (ME). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1538108022
- Provider Name
- DR. THOMAS J VANIDESTINE JR. DC, CCSP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 336 MOUNT HOPE AVE SUITE 11 BANGOR, ME 04401
- Location Phone
- (207) 942-2800
- Location Fax
- (207) 990-2362
- Mailing Address
- 336 MOUNT HOPE AVE SUITE 11 BANGOR, ME 04401
- Mailing Phone
- (207) 942-2800
- Mailing Fax
- (207) 990-2362
- Medical School Name
- OTHER
- Graduation Year
- 1990
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-06-2006
- Last Update Date
- 12-01-2016
- Code Navigator
A chiropractor like Thomas Vanidestine helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chiropractor
- Taxonomy Code
- 111N00000X
- Type
- Chiropractic Providers
- License No.
- CR814
- License State
- ME
- Taxonomy Description
- A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5734579 | OTHER (01) | ME | CIGNA |
| 001039 | OTHER (01) | ME | BLUE CROSS/ANTHEM |
| U09033 | MEDICARE UPIN (02) | ME | |
| MM3453 | MEDICARE PIN (08) | ME | |
| 610664 | OTHER (01) | ME | GREAT WEST/ACN |
| P00282285 | OTHER (01) | ME | RAILROAD MEDICARE |
| 68974 | OTHER (01) | ME | FIRST HEALTH |
| MN0080 | OTHER (01) | ME | HARVARD PILGRIM |
| 121660000 | MEDICAID (05) | ME | |
| 5314274 | OTHER (01) | ME | AETNA |
| ME1721 | MEDICARE PIN (08) | ME | |
| 121660099 | MEDICAID (05) | ME |
Medicare Participation & PECOS Enrollment Status
Thomas Vanidestine is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 7315982964
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20050623000516
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for DR. THOMAS J VANIDESTINE JR. DC, CCSP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 3 | 8 | 1 | 0 | 8 | 0 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 2 | 0 | 16 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 2 + 0 + 1 + 6 + 0 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1538108022 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104819598 | HANS ALBERT HOLZWARTH MD Individual | Internal Medicine | 336 MOUNT HOPE AVE STE 11 BANGOR, ME 04401 (207) 947-0128 |
| 1104810266 | LEWIS EVERETT PHILLIPS MD Individual | Internal Medicine | 336 MOUNT HOPE AVE STE 11 BANGOR, ME 04401 (207) 947-0128 |
| 1376534727 | KATHLEEN H COUSINS WHCNP Individual | Nurse Practitioner (Women's Health) | 336 MOUNT HOPE AVE BANGOR, ME 04401 (207) 947-0469 |
| 1184734105 | DR. MARK IRA LAUSIER D.M.D. Individual | Dentist (General Practice) | 336 MOUNT HOPE AVE SUITE 10 BANGOR, ME 04401 (207) 942-2511 |
| 1629147442 | DR. THOMAS HWNRY DWELLEY O. D. Individual | Optometrist | 336 MOUNT HOPE AVE SUITE 6 BANGOR, ME 04401 (207) 947-4481 |
| 1922467596 | PINE TREE WHOLISTIC HEALTH Organization | Pain Medicine (Interventional Pain Medicine) | 336 MOUNT HOPE AVE SUITE 11 BANGOR, ME 04401 (207) 942-2800 |
| 1487600011 | THOMAS J VANIDESTINE JR Organization | Chiropractor | 336 MOUNT HOPE AVE SUITE 11 BANGOR, ME 04401 (207) 942-2800 |
| 1346205457 | MAINE UROLOGY ASSOCIATES P.A. Organization | Urology | 336 MOUNT HOPE AVE SUITE 1 BANGOR, ME 04401 (207) 947-0469 |
| 1124204110 | HEATHER LANDER PT Individual | Physical Therapist | 336 MOUNT HOPE AVE BANGOR, ME 04401 (207) 249-6621 |
| 1568504421 | MR. CHRISTOPHER CHARLES MAREAN P.T. Individual | Physical Therapist | 336 MOUNT HOPE AVE BANGOR, ME 04401 (207) 249-6621 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538108022, enumerated in the NPI registry as an "individual" on June 06, 2006
The provider is located at 336 Mount Hope Ave Suite 11 Bangor, Me 04401 and the phone number is (207) 942-2800
The provider's speciality is Chiropractor with taxonomy code 111N00000X
The provider has more than 36 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Cigna,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.