Laura Gottfried, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Portland, Maine. Her current practice location is
178 Middle St, Ste 300, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 773-0073.
Laura Gottfried is licensed to practice in Maine (license number LC5554) 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 1669584058.
Healthcare Provider's Profile
| Full Name | Laura Gottfried |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 178 Middle St, Portland, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1669584058
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 02/17/2017
Medicare PECOS Information:
- PECOS PAC ID: 8325080542
- Enrollment ID: I20050527000456
Medical Identifiers
Medical identifiers for Laura Gottfried such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669584058 | NPI | - | NPPES |
| 316220099 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LC5554 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC5554 (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. Laura Gottfried allows following entities to bill medicare on her behalf.
| Entity Name | Laura Gottfried Lcsw Inc, |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851999841
PECOS PAC ID: 1153733225
Enrollment ID: O20201214002143 |
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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. Laura Gottfried 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 |
|---|
Laura Gottfried, LCSW
343 Forest Ave,
Portland, ME 04101-2006
Ph: (207) 874-1030 | Laura Gottfried, LCSW
178 Middle St, Ste 300,
Portland, ME 04101-4075
Ph: (207) 773-0073 |
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