Stanley O Pettegrow, LCSW in Old Town, ME - Medicare Clinical Social Worker Provider

Stanley O Pettegrow, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Old Town, Maine. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Penobscot Community Health Center and his current practice location is 242 Brunswick St, Old Town, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 827-6128.

Stanley O Pettegrow is licensed to practice in Maine (license number LC11074) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487674859.

Contact Information

	Stanley O Pettegrow, LCSW
	242 Brunswick St, Old Town, ME 04468-1613
	(207) 827-6128
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stanley O Pettegrow
Gender	Male
Speciality	Clinical Social Worker
Experience	19 Years
Location	242 Brunswick St, Old Town, Maine
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stanley O Pettegrow graduated from medical school in 2005

NPI Data:

NPI Number: 1487674859
Provider Enumeration Date: 07/20/2006
Last Update Date: 05/05/2021

Medicare PECOS Information:

PECOS PAC ID: 8022109339
Enrollment ID: I20070801000061

Medical Identifiers

Medical identifiers for Stanley O Pettegrow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487674859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LC11074 (Maine)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Penobscot Community Health Center	0143212670	134

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. Stanley O Pettegrow allows following entities to bill medicare on his behalf.

Entity Name	Penobscot Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427169010 PECOS PAC ID: 0143212670 Enrollment ID: O20040819000698

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. Stanley O Pettegrow 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
Stanley O Pettegrow, LCSW Po Box 1599, Bangor, ME 04402-1599 Ph: (207) 945-5247	Stanley O Pettegrow, LCSW 242 Brunswick St, Old Town, ME 04468-1613 Ph: (207) 827-6128

Reviews and Comments

Social Worker in Old Town, ME

Christine Ann Crittenden Richard, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128
Frank N Mcknight, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128
Terry L Melanson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-945-5247 Fax: 207-947-0435
Isabelle Vachon, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 203 Stillwater Ave, Old Town, ME 04468 Phone: 207-827-3910

Stanley O Pettegrow, LCSW - Medicare Clinical Social Worker in Old Town, ME