Caitlin D Ambo, LCPC in Bridgton, ME - Medicare Counselor Provider

Caitlin D Ambo, LCPC is a medicare enrolled "Counselor - Professional" provider in Bridgton, Maine. Her current practice location is 32 No High Street, Bridgton, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 647-5329.

Caitlin D Ambo is licensed to practice in Maine (license number CC6196) 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 1316435407.

Contact Information

	Caitlin D Ambo, LCPC
	32 No High Street, Bridgton, ME 04009
	(207) 647-5329
	(207) 647-5620

Map and Direction

Healthcare Provider's Profile

Full Name	Caitlin D Ambo
Gender	Female
Speciality	Counselor - Professional
Location	32 No High Street, Bridgton, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316435407
Provider Enumeration Date: 04/25/2018
Last Update Date: 07/06/2022

Medicare PECOS Information:

PECOS PAC ID: 7416394085
Enrollment ID: I20240319003089

Medical Identifiers

Medical identifiers for Caitlin D Ambo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316435407	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	CC6196 (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. Caitlin D Ambo allows following entities to bill medicare on her behalf.

Entity Name	Mercy Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629078712 PECOS PAC ID: 6103737812 Enrollment ID: O20040217000943

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. Caitlin D Ambo 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
Caitlin D Ambo, LCPC Po Box 229, Old Orchard Beach, ME 04064 Ph: (207) 590-2197	Caitlin D Ambo, LCPC 32 No High Street, Bridgton, ME 04009 Ph: (207) 647-5329

Reviews and Comments

Counselor in Bridgton, ME

Kristen M Charest, LMSW-CC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Portland Rd Ste 1, Bridgton, ME 04009 Phone: 207-890-2679 Fax: 207-803-8543
Heather M Newton Brown, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 41 Depot St, Bridgton, ME 04009 Phone: 207-512-0922
Krista Susan Johnston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 87 S High St, Bridgton, ME 04009 Phone: 207-647-5600
Mr. R. Andrew Derstine, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 236a Portland Rd, Bridgton, ME 04009 Phone: 207-647-2400 Fax: 207-647-2400
Ms. Colleen Elaine Bolduc, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 41 Depot St, Bridgton, ME 04009 Phone: 207-647-0954 Fax: 207-647-0953
Linda A Bennett, CLINICAL COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 59 S High St, Bridgton, ME 04009 Phone: 207-647-9914
Mr. John J Flanagan, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 32 N High St, Bridgton, ME 04009 Phone: 207-647-5629

Caitlin D Ambo, LCPC - Medicare Counselor in Bridgton, ME