Ms Gwen M Ackley, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Swanville, Maine. Her current practice location is
37 Nickerson Rd, Swanville, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 322-9849.
Ms Gwen M Ackley is licensed to practice in Maine (license number LC16875) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497267256.
Healthcare Provider's Profile
Full Name | Ms Gwen M Ackley |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 37 Nickerson Rd, Swanville, Maine |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497267256
- Provider Enumeration Date: 11/01/2017
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 8123386406
- Enrollment ID: I20171214000085
Medical Identifiers
Medical identifiers for Ms Gwen M Ackley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497267256 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LC16875 (Maine) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Gwen M Ackley allows following entities to bill medicare on her behalf.
Entity Name | Health Affiliates Maine, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932413556 PECOS PAC ID: 1951594076 Enrollment ID: O20101021000912 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Gwen M Ackley is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Gwen M Ackley, LCSW 37 Nickerson Rd, Swanville, ME 04915-8202 Ph: (207) 322-9849 | Ms Gwen M Ackley, LCSW 37 Nickerson Rd, Swanville, ME 04915-8202 Ph: (207) 322-9849 |
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