Marie A Pedersen, LCSW | |
584 Roosevelt Trl, Windham, ME 04062-7302 | |
(207) 662-8907 | |
Not Available |
Full Name | Marie A Pedersen |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 27 Years |
Location | 584 Roosevelt Trl, Windham, Maine |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033234224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC5501 (Maine) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Maine Medical Center | Portland, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mainehealth | 7517860588 | 2109 |
Entity Name | Maine Medical Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467477349 PECOS PAC ID: 9335043967 Enrollment ID: O20031125000026 |
Entity Name | Maine Medical Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144245028 PECOS PAC ID: 9335043967 Enrollment ID: O20040331000321 |
Entity Name | Mainehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Entity Name | Health Affiliates Maine, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932413556 PECOS PAC ID: 1951594076 Enrollment ID: O20101021000912 |
Mailing Address | Practice Location Address |
---|---|
Marie A Pedersen, LCSW 584 Roosevelt Trl, Windham, ME 04062-7302 Ph: (207) 662-8907 | Marie A Pedersen, LCSW 584 Roosevelt Trl, Windham, ME 04062-7302 Ph: (207) 662-8907 |
Michelle H. Bolen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 744 Roosevelt Trl Ste 302a, Windham, ME 04062 Phone: 207-892-7797 Fax: 207-892-7797 | |
Matthew K Lombard, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 20 Lincoln Cir, Windham, ME 04062 Phone: 207-615-2292 | |
Torrey Harrison, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 744 Roosevelt Trl, Windham, ME 04062 Phone: 207-892-4623 Fax: 207-892-5317 | |
Nick Dyer, LMSW-CC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 86 Tandberg Trl, Windham, ME 04062 Phone: 207-893-0386 | |
Matthew John Thibault, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 86 Tandberg Trail, Windham, ME 04062 Phone: 207-893-0386 | |
Nolan M Thompson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 755 Roosevelt Trl # 3b, Windham, ME 04062 Phone: 207-415-9326 Fax: 207-899-4951 |