MARYANN ELIZABETH WALSH (MD) – Internal Medicine Physician, NPI 1811980204

MARYANN ELIZABETH WALSH (MD) is a healthcare provider. based in Brewer, Maine. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. MD13386 (ME). The NPI Number for MARYANN ELIZABETH WALSH (MD) is 1811980204

Main info

Female
Name
MARYANN ELIZABETH WALSH (MD)
NPI
1811980204
Phone
(207) 989-5005
Address
234 STATE ST
Enumeration Date
31 August 2005
Last Update Date
25 July 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MARYANN ELIZABETH WALSH (MD)

  • 234, State Street, Brewer, Penobscot County, Maine, 04412, United States

    BREWER, ME 044121519

    Phone: (207) 989-5005

    Fax: (207) 989-0551

    Type: Location

  • 33 WHITING HILL RD

    BREWER, ME 044121021

    Phone: (207) 973-5035

    Fax: (207) 973-5042

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050627000788IInternal MedicineMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04412)

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Reviews

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Frequently asked questions

How is MARYANN ELIZABETH WALSH (MD) identified in CMS data?
CMS-hosted NPPES data lists MARYANN ELIZABETH WALSH (MD) with NPI 1811980204.
Can I rely on MARYANN ELIZABETH WALSH (MD) being an active provider?
As of the registry snapshot, MARYANN ELIZABETH WALSH (MD) is marked active.
What is MARYANN ELIZABETH WALSH (MD)'s specialty?
The listing groups MARYANN ELIZABETH WALSH (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does MARYANN ELIZABETH WALSH (MD) list a practice location?
Patients near Brewer, Maine may find MARYANN ELIZABETH WALSH (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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