CAROLYN VIRGINIA MENGES DPT
NPI 1841997137
Physical Therapist - Pediatrics in Portland, ME
NPI Status: Active since February 08, 2023
Contact Information
1601 CONGRESS ST
PORTLAND, ME
ZIP 04102
Phone: (207) 774-5710
- Individual
- Female
- Years of Experience 4
- Physical Therapist
- Pediatrics
- Accepts Insurance
- Accepts Medicare Approved Payment
About CAROLYN MENGES
This page provides the complete NPI Profile along with additional information for Carolyn Menges, a provider established in Portland, Maine with a medical specialization in Physical Therapist, focusing in pediatrics and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1841997137 assigned on February 2023. The practitioner's primary taxonomy code is 2251P0200X with license number PT6455 (ME). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1841997137
- Provider Name
- CAROLYN VIRGINIA MENGES DPT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1601 CONGRESS ST PORTLAND, ME 04102
- Location Phone
- (207) 774-5710
- Mailing Address
- 33 ROBERTS ST APT 3 PORTLAND, ME 04102
- Mailing Phone
- (440) 478-9543
- Medical School Name
- OTHER
- Graduation Year
- 2022
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-08-2023
- Last Update Date
- 02-08-2023
- Code Navigator
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
Physical Therapist Pediatrics
- Taxonomy Code
- 2251P0200X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- PT6455
- License State
- ME
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Carolyn Menges 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: 5698149896
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: I20230329000838
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.
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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 | 8 | 4 | 1 | 9 | 9 | 7 | 1 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 8 | 1 | 18 | 9 | 14 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 8 + 1 + 1 + 8 + 9 + 1 + 4 + 1 + 6 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1841997137 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023013257 | DR. DAVID T. GREENLEAF M.D. Individual | Orthopaedic Surgery | 1601 CONGRESS ST PORTLAND, ME 04102 (207) 774-5113 |
| 1811985575 | SEAN T HANLEY M.D. Individual | Orthopaedic Surgery | 1601 CONGRESS ST PORTLAND, ME 04102 (207) 774-5113 |
| 1164410858 | RICHARD REED GRAMSE M.D. Individual | Orthopaedic Surgery | 1601 CONGRESS ST PORTLAND, ME 04102 (207) 774-5113 |
| 1427094150 | STEVEN C JOHNSTON PT Individual | Physical Therapist | 1601 CONGRESS ST PORTLAND, ME 04102 (207) 774-5710 |
| 1205858644 | DR. DAVID RICHARD KERR D.D.S. Individual | Dentist (General Practice) | 1601 CONGRESS ST PORTLAND, ME 04102 (207) 775-0001 |
| 1447404462 | MOBILE MEDICAL IMAGING SERVICES INC. Organization | Radiology (Diagnostic Ultrasound) | 1601 CONGRESS ST SUITE 3 PORTLAND, ME 04102 (207) 774-0885 |
| 1518335892 | DAVID R KERR Organization | Dentist | 1601 CONGRESS ST PORTLAND, ME 04102 (207) 775-0001 |
| 1619181930 | ORTHOPAEDIC & SPORTS PHYSICAL THERAPY CLINIC PA Organization | Physical Therapist | 1601 CONGRESS ST PORTLAND, ME 04102 (207) 774-5710 |
| 1952717084 | MAINE COAST ORAL SURGERY Organization | Dentist (Oral and Maxillofacial Pathology) | 1601 CONGRESS ST PORTLAND, ME 04102 (207) 772-8055 |
| 1568523637 | MAINE ORTHOPAEDIC CENTER, PA Organization | Orthopaedic Surgery | 1601 CONGRESS ST PORTLAND, ME 04102 (207) 774-2155 |
| 1144788209 | SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC Organization | Clinic/Center (Rehabilitation) | 1601 CONGRESS ST PORTLAND, ME 04102 (207) 774-5113 |
| 1851850267 | SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC Organization | Durable Medical Equipment & Medical Supplies | 1601 CONGRESS ST PORTLAND, ME 04102 (207) 774-5710 |
| 1528685849 | YANELIS MESTRE DMD Individual | Dentist (Pediatric Dentistry) | 1601 CONGRESS ST PORTLAND, ME 04102 (207) 773-3111 |
| 1043741515 | RACHEL RUBINO DUNLAP MD Individual | Dermatology | 1601 CONGRESS ST PORTLAND, ME 04102 (207) 661-0100 |
| 1306956974 | MATTHEW P GUILBEAULT PA-C Individual | Physician Assistant (Surgical) | 1601 CONGRESS ST PORTLAND, ME 04102 (207) 774-5113 |
| 1952391435 | MRS. SARAH BLACK WIESENDANGER PATTON PA-C Individual | Physician Assistant | 1601 CONGRESS ST PORTLAND, ME 04102 (207) 661-0100 |
| 1013694629 | MRS. ROSIE ANKHARTZ SLP Individual | Speech-Language Pathologist | 1601 CONGRESS ST PORTLAND, ME 04102 (207) 774-5710 |
| 1689415382 | PHOEBE ARLENE SCHEMBRE DPT Individual | Physical Therapist | 1601 CONGRESS ST PORTLAND, ME 04102 (207) 774-5710 |
| 1770312852 | CHEYENNE MALLOY Individual | Occupational Therapist | 1601 CONGRESS ST PORTLAND, ME 04102 (207) 774-5710 |
| 1487487997 | DR. ABIGAIL DOHERTY Individual | Physical Therapist | 1601 CONGRESS ST PORTLAND, ME 04102 (207) 774-5710 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841997137, enumerated in the NPI registry as an "individual" on February 08, 2023
The provider is located at 1601 Congress St Portland, Me 04102 and the phone number is (207) 774-5710
The provider's speciality is Physical Therapist with taxonomy code 2251P0200X with a focus in Pediatrics
The provider has more than 4 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. 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 February 08, 2023. 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.