Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark A Debiasio, PA-C

Individual provider Surgical Physician Assistant · NPI 1720243678

Mark A Debiasio, PA-C is a Physician Assistant in South Portland, Maine. Qualified in 2008, 18 years ago. Practices with Mainehealth, a 2,615-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
18
Licensed in
ME
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

119 Gannett Dr
South Portland, ME 04106-6942
Phone: (207) 773-0040
Fax: (207) 774-6501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA1239 (ME)

Record details

NPI number1720243678
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 21, 2008
Last updated in NPPESApril 15, 2024
Certification dateApril 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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