Amelia Forman-stiles, MHRT-CSP in Ellsworth, ME

Amelia Forman-stiles, MHRT-CSP is a medicare enrolled "Counselor" provider in Ellsworth, Maine. Her current practice location is 710 Bucksport Rd, Ellsworth, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 667-6890.

Amelia Forman-stiles is licensed to practice in * (Not Available) (license number ) 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 1053886564.

Contact Information

	Amelia Forman-stiles, MHRT-CSP
	710 Bucksport Rd, Ellsworth, ME 04605-2722
	(207) 667-6890
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amelia Forman-stiles
Gender	Female
Speciality	Counselor
Location	710 Bucksport Rd, Ellsworth, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053886564
Provider Enumeration Date: 10/11/2018
Last Update Date: 02/02/2021

Medicare PECOS Information:

PECOS PAC ID: 7719424720
Enrollment ID: I20240807002719

Medical Identifiers

Medical identifiers for Amelia Forman-stiles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053886564	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	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. Amelia Forman-stiles allows following entities to bill medicare on her behalf.

Entity Name	Regional Medical Center At Lubec
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740283977 PECOS PAC ID: 8224949888 Enrollment ID: O20040812001504

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. Amelia Forman-stiles 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
Amelia Forman-stiles, MHRT-CSP 180 Academy St Ste 3, Presque Isle, ME 04769-3183 Ph: (207) 554-2352	Amelia Forman-stiles, MHRT-CSP 710 Bucksport Rd, Ellsworth, ME 04605-2722 Ph: (207) 667-6890

Reviews and Comments

Counselor in Ellsworth, ME

Ms. Ilene Julie Schneider, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: Community Health And Counseling Services, 52 Christian Ridge Road, Ellsworth, ME 04605 Phone: 207-610-8027 Fax: 845-225-3207
Mica T. Slaven-lamothe, LCSW, MHRT-CSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 Bucksport Rd, Ellsworth, ME 04605 Phone: 207-667-6890 Fax: 207-687-6457
Sarah J White, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Old Mill Rd, Ellsworth, ME 04605 Phone: 207-667-3210
Dr. Lynn Benson, PHD, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Hancock St, Ellsworth, ME 04605 Phone: 207-667-1988 Fax: 207-667-1993
Lexi Hunt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 52 Christian Ridge Rd, Ellsworth, ME 04605 Phone: 207-667-5357
Dr. Lucia Patat Young, PH.D. Counselor Medicare: Medicare Enrolled Practice Location: 114 State St, Ellsworth, ME 04605 Phone: 207-667-4334

Amelia Forman-stiles, MHRT-CSP - Medicare Counselor in Ellsworth, ME